Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $1,589.89 / $2,142.40	Facility		$572.96	$1,589.89	$2,142.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $669.50 / $669.50 / $669.50	Professional		$669.50	$669.50	$669.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $540.53 / $572.96	Facility		$540.53	$540.53	$572.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.02 / $487.02 / $572.96	Professional		$487.02	$487.02	$572.96
United Facility/Professional Professional Modifier Low / Median / High Price $521.39 / $572.96 / $928.64	Professional		$521.39	$572.96	$928.64