Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $562.34	Professional		$218.78	$446.68	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $295.12 / $676.08	Professional		$26.30	$295.12	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $457.09	Facility		$208.93	$363.08	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $194.98	Professional		$61.66	$87.10	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $158.49	Professional		$74.13	$79.43	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,090.30	Facility		$2,238.72	$2,630.27	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $616.60 / $1,698.24	Professional		$60.26	$616.60	$1,698.24