Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $316.23	Professional		$58.88	$67.61	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $354.81	Professional		$79.43	$239.88	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,047.13	Facility		$812.83	$812.83	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $346.74	Professional		$64.57	$134.90	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $169.82	Professional		$79.43	$93.33	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,238.72	Facility		$1,659.59	$1,949.84	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $251.19	Professional		$70.79	$89.13	$251.19