Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.12 / $1,775.48 / $5,878.08	Facility		$911.12	$1,775.48	$5,878.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $1,393.87	Professional		$733.67	$733.67	$1,393.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $734.16 / $879.60	Professional		$733.67	$734.16	$879.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $692.14 / $733.67	Facility		$692.14	$692.14	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $912.45	Professional		$733.67	$733.67	$912.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $733.67 / $1,163.49	Professional		$623.62	$733.67	$1,163.49
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $816.73 / $1,079.98	Professional		$733.67	$816.73	$1,079.98