Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $675.00 / $5,508.00	Facility		$675.00	$675.00	$5,508.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $675.00 / $702.00	Professional		$675.00	$675.00	$702.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $1,638.73	Professional		$720.00	$720.00	$1,638.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $1,521.00 / $3,272.30	Facility		$1,462.50	$1,521.00	$3,272.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.54 / $2,847.24 / $7,013.41	Professional		$542.54	$2,847.24	$7,013.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,829.43 / $1,829.43	Professional		$1,035.00	$1,829.43	$1,829.43
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $540.00 / $818.98	Professional		$378.00	$540.00	$818.98