Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $1,387.16 / $1,869.22	Facility		$474.84	$1,387.16	$1,869.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $713.72 / $1,206.83	Professional		$474.84	$713.72	$1,206.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $447.96 / $474.84	Facility		$447.96	$447.96	$474.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.61 / $403.61 / $474.84	Professional		$403.61	$403.61	$474.84
United Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $528.60 / $698.97	Professional		$470.09	$528.60	$698.97