Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $2,511.89	Facility		$302.00	$302.00	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $331.13	Professional		$281.84	$309.03	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $354.81	Professional		$295.12	$323.59	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $1,548.82	Facility		$660.69	$691.83	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $831.76	Professional		$467.74	$467.74	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $512.86	Professional		$169.82	$181.97	$512.86