Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $787.50 / $6,426.00	Facility		$787.50	$787.50	$6,426.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $787.50 / $819.00	Professional		$787.50	$787.50	$819.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $945.00 / $945.00	Professional		$840.00	$945.00	$945.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.25 / $1,774.50 / $3,817.49	Facility		$1,706.25	$1,774.50	$3,817.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.36 / $1,507.97 / $8,180.96	Professional		$575.36	$1,507.97	$8,180.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.50 / $2,134.34 / $2,134.34	Professional		$1,207.50	$2,134.34	$2,134.34
United Facility/Professional Facility Modifier Low / Median / High Price $437.79 / $437.79 / $437.79	Facility		$437.79	$437.79	$437.79
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $630.00 / $1,657.34	Professional		$437.79	$630.00	$1,657.34