Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $1,277.70 / $1,556.18	Facility		$422.89	$1,277.70	$1,556.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $442.11	Professional		$422.89	$422.89	$442.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $409.52 / $422.90	Professional		$409.52	$409.52	$422.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $398.96 / $422.89	Facility		$398.96	$398.96	$422.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $529.26	Professional		$422.89	$422.89	$529.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $422.89 / $745.31	Professional		$359.46	$422.89	$745.31
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $470.77 / $622.50	Professional		$422.89	$470.77	$622.50