Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,635.66 / $5,728.32	Facility		$702.00	$1,635.66	$5,728.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $702.00 / $730.08	Professional		$702.00	$702.00	$730.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $842.40 / $842.40	Professional		$748.80	$842.40	$842.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $1,581.84 / $3,403.24	Facility		$1,521.00	$1,581.84	$3,403.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.84 / $1,344.83 / $7,293.83	Professional		$512.84	$1,344.83	$7,293.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,902.61 / $1,902.61	Professional		$1,076.40	$1,902.61	$1,902.61
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $1,488.24	Professional		$393.12	$561.60	$1,488.24