Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $562.50 / $4,590.00	Facility		$562.50	$562.50	$4,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $562.50 / $562.50	Professional		$562.50	$562.50	$562.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $675.00	Professional		$600.00	$600.00	$675.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,218.75 / $1,267.50 / $2,725.93	Facility		$1,218.75	$1,267.50	$2,725.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.53 / $1,524.53 / $1,524.53	Professional		$1,524.53	$1,524.53	$1,524.53
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $607.41 / $682.49	Professional		$315.00	$607.41	$682.49