Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $1,778.28	Facility		$218.78	$218.78	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $234.42	Professional		$204.17	$218.78	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $251.19	Professional		$208.93	$234.42	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $1,122.02	Facility		$478.63	$489.78	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $1,318.26	Professional		$165.96	$371.54	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $588.84	Professional		$338.84	$512.86	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $363.08	Professional		$123.03	$131.83	$363.08