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 $393.60 / $408.00 / $408.00	Professional		$393.60	$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 $323.00 / $392.00 / $421.00	Professional		$323.00	$392.00	$421.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $504.00	Professional		$480.00	$480.00	$504.00