Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $1,110.71 / $1,496.71	Facility		$392.09	$1,110.71	$1,496.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $615.22 / $1,040.28	Professional		$392.09	$615.22	$1,040.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $369.90 / $392.09	Facility		$369.90	$369.90	$392.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $333.28 / $392.09	Professional		$254.86	$333.28	$392.09
United Facility/Professional Professional Modifier Low / Median / High Price $356.80 / $392.09 / $392.09	Professional		$356.80	$392.09	$392.09