Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $122.85 / $122.85	Facility		$122.85	$122.85	$122.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $122.85 / $122.85	Professional		$114.29	$122.85	$122.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $172.36 / $1,152.25	Professional		$171.26	$172.36	$1,152.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.96 / $589.12 / $24,998.62	Facility		$346.96	$589.12	$24,998.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $348.44 / $636.08	Professional		$114.42	$348.44	$636.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $157.33 / $299.99	Professional		$135.88	$157.33	$299.99
United Facility/Professional Facility Modifier Low / Median / High Price $15,289.72 / $15,924.38 / $17,679.75	Facility		$15,289.72	$15,924.38	$17,679.75
United Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $201.58 / $397.40	Professional		$134.38	$201.58	$397.40