Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $831.76	Professional		$562.34	$630.96	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Professional		$660.69	$660.69	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,995.26 / $2,754.23	Professional		$912.01	$1,995.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,288.25	Professional		$457.09	$691.83	$1,288.25