Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $7,099.20	Facility		$870.00	$870.00	$7,099.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $904.80	Professional		$870.00	$870.00	$904.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $928.00 / $928.00	Professional		$928.00	$928.00	$928.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,885.00 / $1,960.40 / $4,217.45	Facility		$1,885.00	$1,960.40	$4,217.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.25 / $3,669.46 / $9,038.42	Professional		$699.25	$3,669.46	$9,038.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,334.00 / $2,357.92 / $2,357.92	Professional		$1,334.00	$2,357.92	$2,357.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,844.40	Professional		$487.20	$696.00	$1,844.40