Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $812.83	Professional		$501.19	$575.44	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Professional		$645.65	$645.65	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $707.95	Professional		$501.19	$501.19	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,737.80 / $2,398.83	Professional		$812.83	$1,737.80	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,122.02	Professional		$407.38	$602.56	$1,122.02