Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.19 / $577.19 / $4,709.83	Facility		$577.19	$577.19	$4,709.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.19 / $577.19 / $600.27	Professional		$577.19	$577.19	$600.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $692.62 / $692.62	Professional		$615.66	$692.62	$692.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.58 / $1,300.59 / $2,797.35	Facility		$1,250.58	$1,300.59	$2,797.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.80 / $2,434.52 / $5,996.85	Professional		$463.80	$2,434.52	$5,996.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.02 / $1,564.33 / $1,564.33	Professional		$885.02	$1,564.33	$1,564.33
United Facility/Professional Facility Modifier Low / Median / High Price $323.22 / $323.22 / $323.22	Facility		$323.22	$323.22	$323.22
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $461.75 / $1,223.63	Professional		$323.22	$461.75	$1,223.63