Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $588.84	Professional		$117.49	$165.96	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $288.40 / $645.65	Professional		$107.15	$288.40	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $1,584.89	Facility		$1,047.13	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $977.24	Professional		$158.49	$162.18	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $457.09	Professional		$186.21	$213.80	$457.09
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 $134.90 / $245.47 / $676.08	Professional		$134.90	$245.47	$676.08