Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $570.00 / $4,651.20	Facility		$570.00	$570.00	$4,651.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $570.00 / $592.79	Professional		$570.00	$570.00	$592.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $684.00 / $684.00	Professional		$608.00	$684.00	$684.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,284.40 / $2,762.83	Facility		$1,235.00	$1,284.40	$2,762.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.06 / $801.06 / $880.37	Professional		$801.06	$801.06	$880.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,544.85 / $1,544.85	Professional		$874.00	$1,544.85	$1,544.85
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,208.40	Professional		$319.20	$456.00	$1,208.40