Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $933.25	Professional		$549.54	$588.84	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Professional		$707.95	$707.95	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $776.25	Professional		$549.54	$549.54	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,905.46 / $2,630.27	Professional		$891.25	$1,905.46	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,258.93	Professional		$446.68	$660.69	$1,258.93