Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.02 / $1,614.00 / $7,727.00	Facility		$301.02	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $301.02 / $301.02	Professional		$301.02	$301.02	$301.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $392.19 / $1,495.72	Professional		$392.19	$392.19	$1,495.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,748.00 / $20,748.00 / $31,779.00	Facility		$20,748.00	$20,748.00	$31,779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.51 / $452.15 / $1,247.27	Professional		$311.51	$452.15	$1,247.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.83 / $666.83 / $666.83	Professional		$666.83	$666.83	$666.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $7,256.00 / $21,109.00	Facility		$4,062.00	$7,256.00	$21,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.01 / $450.35 / $737.48	Professional		$306.01	$450.35	$737.48