Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,737.80	Professional		$870.96	$1,023.29	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,412.54	Professional		$977.24	$977.24	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $4,168.69	Professional		$1,412.54	$3,090.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,995.26	Professional		$707.95	$1,071.52	$1,995.26