Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $891.25	Professional		$616.60	$758.58	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,398.83	Professional		$1,202.26	$1,380.38	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,445.44	Professional		$891.25	$891.25	$1,445.44