Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $1,698.24	Facility		$204.17	$204.17	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $223.87	Professional		$190.55	$208.93	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $269.15	Professional		$223.87	$245.47	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $1,047.13	Facility		$446.68	$467.74	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $1,258.93	Professional		$154.88	$354.81	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $562.34	Professional		$316.23	$478.63	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $346.74	Professional		$114.82	$123.03	$346.74