Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $407.38	Professional		$269.15	$316.23	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $489.78	Professional		$331.13	$371.54	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $1,023.29	Professional		$281.84	$346.74	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $588.84	Professional		$354.81	$371.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $676.08	Professional		$223.87	$316.23	$676.08