Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $1,213.15 / $1,477.55	Facility		$392.63	$1,213.15	$1,477.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $396.56	Professional		$392.63	$392.63	$396.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $388.83 / $465.63	Professional		$388.83	$388.83	$465.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $370.40 / $392.63	Facility		$370.40	$370.40	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $483.63	Professional		$392.63	$392.63	$483.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $333.74 / $392.63	Professional		$333.74	$333.74	$392.63
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $437.08 / $577.96	Professional		$392.63	$437.08	$577.96