Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.38 / $507.38 / $4,140.18	Facility		$507.38	$507.38	$4,140.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.38 / $507.38 / $527.66	Professional		$507.38	$507.38	$527.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $744.15 / $4,979.50	Professional		$676.50	$744.15	$4,979.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,099.33 / $1,143.30 / $2,459.29	Facility		$1,099.33	$1,143.30	$2,459.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.99 / $1,522.52 / $5,271.51	Professional		$425.99	$1,522.52	$5,271.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $777.98 / $1,375.12 / $1,375.12	Professional		$777.98	$1,375.12	$1,375.12
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $405.90 / $1,242.25	Professional		$284.13	$405.90	$1,242.25