Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.58 / $1,104.58 / $1,104.58	Facility		$1,104.58	$1,104.58	$1,104.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.89 / $1,104.58 / $1,112.45	Professional		$828.89	$1,104.58	$1,112.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,156.08 / $1,156.08 / $1,156.08	Professional		$1,156.08	$1,156.08	$1,156.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.59 / $1,271.59 / $1,523.52	Professional		$1,271.59	$1,271.59	$1,523.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.50 / $1,035.26 / $2,130.23	Professional		$983.50	$1,035.26	$2,130.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,569.71	Professional		$1,308.77	$1,308.77	$1,569.71