Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $977.24 / $1,174.90	Facility		$309.03	$977.24	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Professional		$309.03	$309.03	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $1,000.00	Professional		$416.87	$478.63	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Facility		$295.12	$309.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $501.19	Professional		$309.03	$309.03	$501.19