Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,621.81 / $1,621.81	Facility		$676.08	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $676.08	Professional		$549.54	$676.08	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Professional		$645.65	$645.65	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,071.52	Professional		$660.69	$660.69	$1,071.52