Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $4,897.79	Facility		$602.56	$1,202.26	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $1,479.11	Professional		$316.23	$602.56	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $3,715.35	Professional		$933.25	$1,659.59	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $3,090.30	Facility		$1,288.25	$1,348.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $1,148.15	Professional		$436.52	$912.01	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $707.95	Professional		$204.17	$363.08	$707.95