Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,754.23 / $4,073.80	Facility		$426.58	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $831.76	Professional		$295.12	$363.08	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $977.24	Professional		$309.03	$371.54	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $933.25	Professional		$295.12	$380.19	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $758.58	Professional		$363.08	$416.87	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,778.28	Facility		$213.80	$549.54	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $891.25	Professional		$239.88	$331.13	$891.25