Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,142.42 / $1,668.63 / $2,821.50	Professional		$1,142.42	$1,668.63	$2,821.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,173.96 / $2,173.96 / $2,173.96	Professional		$2,173.96	$2,173.96	$2,173.96
United Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $800.00 / $2,431.17	Professional		$728.00	$800.00	$2,431.17