Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $933.25	Professional		$630.96	$707.95	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,096.48	Professional		$870.96	$870.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,202.26	Professional		$812.83	$812.83	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,238.72 / $3,090.30	Professional		$1,023.29	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,445.44	Professional		$512.86	$776.25	$1,445.44