Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $676.08	Professional		$338.84	$371.54	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $512.86	Professional		$354.81	$354.81	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,071.52 / $1,479.11	Professional		$501.19	$1,071.52	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $575.44	Professional		$251.19	$389.05	$575.44