Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $1,698.24	Facility		$204.17	$204.17	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $245.47	Professional		$204.17	$213.80	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $239.88	Professional		$199.53	$218.78	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $1,047.13	Facility		$446.68	$467.74	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $562.34	Professional		$316.23	$316.23	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $346.74	Professional		$114.82	$123.03	$346.74