Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $616.60	Professional		$269.15	$309.03	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Professional		$380.19	$380.19	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $1,318.26	Professional		$446.68	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $616.60	Professional		$223.87	$331.13	$616.60