Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $2,094.98 / $2,823.02	Facility		$748.85	$2,094.98	$2,823.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $742.89 / $1,099.23 / $1,858.70	Professional		$742.89	$1,099.23	$1,858.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $706.46 / $748.84	Facility		$706.46	$706.46	$748.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $636.52 / $748.85	Professional		$636.52	$636.52	$748.85
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
United Facility/Professional Professional Modifier Low / Median / High Price $681.45 / $748.85 / $1,213.72	Professional		$681.45	$748.85	$1,213.72