Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $954.99 / $19,498.45	Facility		$309.03	$954.99	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $758.58	Professional		$309.03	$309.03	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $467.74	Professional		$309.03	$309.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $309.03	Facility		$288.40	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $389.05	Professional		$309.03	$309.03	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $1,288.25	Professional		$263.03	$309.03	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $398.11	Professional		$309.03	$323.59	$398.11