Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,148.15 / $1,479.11	Facility		$389.05	$1,148.15	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $407.38	Professional		$223.87	$389.05	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,258.93	Professional		$537.03	$602.56	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Facility		$371.54	$389.05	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Professional		$331.13	$331.13	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $630.96	Professional		$389.05	$389.05	$630.96