Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.29 / $509.29 / $4,155.79	Facility		$509.29	$509.29	$4,155.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.29 / $509.29 / $529.66	Professional		$509.29	$509.29	$529.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $746.96 / $746.96	Professional		$679.05	$746.96	$746.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,103.45 / $2,160.21 / $2,468.81	Facility		$1,103.45	$2,160.21	$2,468.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $1,663.18 / $5,290.39	Professional		$372.10	$1,663.18	$5,290.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.30 / $1,380.30 / $1,380.30	Professional		$1,380.30	$1,380.30	$1,380.30
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $407.43 / $1,481.05	Professional		$285.20	$407.43	$1,481.05