Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,513.56	Professional		$851.14	$1,230.27	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,951.21	Professional		$1,698.24	$1,698.24	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,479.11	Professional		$616.60	$1,023.29	$1,479.11