Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $272.00 / $272.00	Professional		$272.00	$272.00	$272.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $626.05 / $663.63	Facility		$626.05	$626.05	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $845.18	Professional		$663.63	$663.63	$845.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $564.09 / $899.91	Professional		$564.09	$564.09	$899.91
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $1,075.59	Professional		$663.63	$663.63	$1,075.59