Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,621.81 / $1,995.26	Facility		$524.81	$1,621.81	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $2,041.74	Professional		$524.81	$524.81	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,698.24	Professional		$724.44	$831.76	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $524.81	Facility		$489.78	$524.81	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $524.81	Professional		$446.68	$446.68	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $851.14	Professional		$524.81	$524.81	$851.14