Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.55 / $949.55 / $7,748.35	Facility		$949.55	$949.55	$7,748.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.55 / $949.55 / $987.53	Professional		$949.55	$949.55	$987.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,012.86 / $1,012.86 / $1,012.86	Professional		$1,012.86	$1,012.86	$1,012.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,057.38 / $2,139.67 / $4,603.13	Facility		$2,057.38	$2,139.67	$4,603.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.55 / $1,469.55 / $1,615.05	Professional		$1,469.55	$1,469.55	$1,615.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,455.98 / $2,573.54 / $2,573.54	Professional		$1,455.98	$2,573.54	$2,573.54
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $569.73 / $2,013.05	Professional		$531.75	$569.73	$2,013.05