Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $5,888.44	Facility		$776.25	$1,949.84	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $1,995.26	Professional		$776.25	$794.33	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,148.15	Professional		$776.25	$776.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Facility		$741.31	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,000.00	Professional		$776.25	$776.25	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,202.26	Professional		$660.69	$776.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,023.29	Professional		$776.25	$831.76	$1,023.29