Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $456.13 / $3,722.00	Facility		$456.13	$456.13	$3,722.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $456.13 / $474.37	Professional		$456.13	$456.13	$474.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $486.54	Professional		$486.54	$486.54	$486.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.28 / $1,027.81 / $2,210.50	Facility		$988.28	$1,027.81	$2,210.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.78 / $705.78 / $775.66	Professional		$705.78	$705.78	$775.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.40 / $1,236.23 / $1,236.23	Professional		$699.40	$1,236.23	$1,236.23
United Facility/Professional Facility Modifier Low / Median / High Price $255.43 / $255.43 / $255.43	Facility		$255.43	$255.43	$255.43
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $364.90 / $966.99	Professional		$255.43	$364.90	$966.99