Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.45 / $645.40 / $3,406.39	Facility		$417.45	$645.40	$3,406.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.45 / $417.45 / $434.15	Professional		$417.45	$417.45	$434.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $612.26 / $3,353.56	Professional		$556.60	$612.26	$3,353.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.48 / $940.65 / $2,023.61	Facility		$904.48	$940.65	$2,023.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $1,761.30 / $4,335.85	Professional		$335.51	$1,761.30	$4,335.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.09 / $1,131.40 / $1,131.40	Professional		$640.09	$1,131.40	$1,131.40
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.96 / $884.99	Professional		$233.77	$333.96	$884.99