Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $169.45 / $169.45	Professional		$169.45	$169.45	$169.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $421.00 / $421.00	Professional		$421.00	$421.00	$421.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $777.97	Professional		$480.00	$480.00	$777.97