Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,148.15	Professional		$831.76	$954.99	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $2,884.03	Professional		$977.24	$1,071.52	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,344.23 / $4,365.16	Professional		$1,071.52	$2,344.23	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $2,187.76	Professional		$1,122.02	$1,174.90	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,089.30	Facility		$1,548.82	$1,819.70	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $2,754.23	Professional		$831.76	$1,659.59	$2,754.23