Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $5,754.40	Facility		$707.95	$707.95	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $776.25	Professional		$660.69	$724.44	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $831.76	Professional		$691.83	$758.58	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $3,630.78	Facility		$1,548.82	$1,621.81	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $1,949.84	Professional		$1,096.48	$1,659.59	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $1,174.90	Professional		$398.11	$426.58	$1,174.90