Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $1,230.96 / $1,658.74	Facility		$432.02	$1,230.96	$1,658.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $621.60 / $1,051.08	Professional		$432.02	$621.60	$1,051.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $432.02	Facility		$407.57	$407.57	$432.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.22 / $367.22 / $432.02	Professional		$367.22	$367.22	$432.02
United Facility/Professional Professional Modifier Low / Median / High Price $393.14 / $432.02 / $700.21	Professional		$393.14	$432.02	$700.21