Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.14 / $830.14 / $976.63	Professional		$830.14	$830.14	$976.63
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $992.10	Professional		$612.11	$612.11	$992.10