Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $1,891.81 / $2,304.13	Facility		$575.50	$1,891.81	$2,304.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $639.38	Professional		$575.50	$575.50	$639.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.51 / $606.35 / $606.35	Professional		$575.51	$606.35	$606.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $542.92 / $575.50	Facility		$542.92	$542.92	$575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $732.95	Professional		$575.50	$575.50	$732.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $489.18 / $575.50	Professional		$387.37	$489.18	$575.50
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $640.65 / $684.85	Professional		$575.50	$640.65	$684.85