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 / $570.00	Professional		$570.00	$570.00	$570.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $608.00	Professional		$608.00	$608.00	$608.00
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 $873.50 / $873.50 / $1,091.86	Professional		$873.50	$873.50	$1,091.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,544.85 / $1,544.85 / $1,544.85	Professional		$1,544.85	$1,544.85	$1,544.85
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Facility		$912.00	$912.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $342.00 / $691.58	Professional		$319.20	$342.00	$691.58