Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $543.75 / $4,437.00	Facility		$543.75	$543.75	$4,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $543.75 / $565.50	Professional		$543.75	$543.75	$565.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $652.50 / $652.50	Professional		$580.00	$652.50	$652.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.13 / $1,225.25 / $2,635.46	Facility		$1,178.13	$1,225.25	$2,635.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.35 / $841.35 / $924.65	Professional		$841.35	$841.35	$924.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.75 / $1,473.71 / $1,473.71	Professional		$833.75	$1,473.71	$1,473.71
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $435.00 / $1,152.75	Professional		$304.50	$435.00	$1,152.75