Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $575.44	Professional		$371.54	$416.87	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $660.69	Professional		$457.09	$457.09	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,230.27 / $1,698.24	Professional		$562.34	$1,230.27	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $645.65	Professional		$281.84	$426.58	$645.65