Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $630.49 / $5,144.78	Facility		$630.49	$630.49	$5,144.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $630.49 / $630.49	Professional		$630.49	$630.49	$630.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $672.52 / $672.52	Professional		$672.52	$672.52	$672.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.05 / $1,420.69 / $3,055.66	Facility		$1,366.05	$1,420.69	$3,055.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $966.01 / $1,207.51	Professional		$966.01	$966.01	$1,207.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,708.79 / $1,708.79 / $1,708.79	Professional		$1,708.79	$1,708.79	$1,708.79
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $378.29 / $764.97	Professional		$353.07	$378.29	$764.97