Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,122.02	Professional		$831.76	$933.25	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,071.52	Professional		$831.76	$954.99	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,691.53	Professional		$870.96	$1,202.26	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $2,137.96	Professional		$1,047.13	$1,148.15	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $5,248.07	Facility		$3,801.89	$4,466.84	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,691.53	Professional		$794.33	$1,513.56	$2,691.53