Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.32 / $624.36 / $840.48	Professional		$602.32	$624.36	$840.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.14 / $976.63 / $1,220.79	Professional		$830.14	$976.63	$1,220.79
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $645.78	Professional		$612.11	$612.11	$645.78