Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $1,394.29 / $1,878.83	Facility		$495.55	$1,394.29	$1,878.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $494.44 / $753.14 / $1,273.50	Professional		$494.44	$753.14	$1,273.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $495.55	Facility		$467.50	$467.50	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.22 / $421.22 / $495.55	Professional		$421.22	$421.22	$495.55
United Facility/Professional Professional Modifier Low / Median / High Price $450.95 / $495.55 / $803.18	Professional		$450.95	$495.55	$803.18