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 / $407.38	Professional		$269.15	$309.03	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $467.74	Professional		$346.74	$346.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $389.05	Professional		$275.42	$275.42	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $1,318.26	Professional		$436.52	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $616.60	Professional		$223.87	$331.13	$616.60