Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $933.25 / $1,096.48	Professional		$67.61	$933.25	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,122.02	Professional		$851.14	$851.14	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Professional		$102.33	$102.33	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $3,162.28	Professional		$218.78	$218.78	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $1,258.93	Professional		$50.12	$75.86	$1,258.93