Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $2,317.00	Facility		$903.21	$903.21	$2,317.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $850.08 / $850.08	Professional		$850.08	$850.08	$850.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $858.05 / $1,009.47	Professional		$200.73	$858.05	$1,009.47
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,435.20	Professional		$885.50	$885.50	$1,435.20