Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,659.59	Professional		$954.99	$1,122.02	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,659.59	Professional		$1,258.93	$1,258.93	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,584.89	Professional		$1,122.02	$1,122.02	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $4,677.35	Professional		$1,548.82	$3,388.44	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,187.76	Professional		$776.25	$1,174.90	$2,187.76