Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.75 / $672.75 / $5,489.64	Facility		$672.75	$672.75	$5,489.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $672.75 / $672.75	Professional		$672.75	$672.75	$672.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $717.60 / $717.60	Professional		$717.60	$717.60	$717.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,457.63 / $1,515.93 / $3,260.40	Facility		$1,457.63	$1,515.93	$3,260.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,030.84 / $1,288.56	Professional		$1,030.84	$1,030.84	$1,288.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,823.33 / $1,823.33 / $1,823.33	Professional		$1,823.33	$1,823.33	$1,823.33
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $403.65 / $816.25	Professional		$376.74	$403.65	$816.25