Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.36 / $869.36 / $869.36	Facility		$869.36	$869.36	$869.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.36 / $869.36 / $869.36	Professional		$869.36	$869.36	$869.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,185.81 / $1,185.81 / $1,452.04	Professional		$1,185.81	$1,185.81	$1,452.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $968.91	Professional		$968.91	$968.91	$968.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.68 / $1,380.68 / $4,216.51	Professional		$1,380.68	$1,380.68	$4,216.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,398.59 / $3,398.59 / $3,398.59	Facility		$3,398.59	$3,398.59	$3,398.59
United Facility/Professional Professional Modifier Low / Median / High Price $706.47 / $1,059.70 / $1,649.47	Professional		$706.47	$1,059.70	$1,649.47