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 / $316.23 / $446.68	Professional		$269.15	$316.23	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Professional		$354.81	$354.81	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $416.87	Professional		$295.12	$295.12	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $933.25 / $1,288.25	Professional		$436.52	$933.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $616.60	Professional		$218.78	$323.59	$616.60