Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,122.02 / $1,348.96	Facility		$354.81	$1,122.02	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $537.03	Professional		$354.81	$354.81	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Facility		$338.84	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $363.08	Professional		$302.00	$346.74	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $380.19	Facility		$354.81	$354.81	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $407.38	Professional		$354.81	$380.19	$407.38