Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.25 / $248.25 / $2,025.72	Facility		$248.25	$248.25	$2,025.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $248.25 / $258.18	Professional		$248.25	$248.25	$258.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $264.80 / $401.84	Professional		$204.43	$264.80	$401.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.88 / $559.39 / $1,203.45	Facility		$537.88	$559.39	$1,203.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $745.16 / $2,577.78	Professional		$110.94	$745.16	$2,577.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $672.82 / $672.82	Professional		$380.65	$672.82	$672.82
United Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $198.60 / $301.20	Professional		$83.07	$198.60	$301.20