Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.33 / $1,204.33 / $1,204.33	Facility		$1,204.33	$1,204.33	$1,204.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.33 / $1,204.33 / $1,204.33	Professional		$1,204.33	$1,204.33	$1,204.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $1,578.00 / $2,011.53	Professional		$1,578.00	$1,578.00	$2,011.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,325.54	Professional		$1,325.54	$1,325.54	$1,325.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,912.68 / $1,912.68 / $5,841.19	Professional		$1,912.68	$1,912.68	$5,841.19
United Facility/Professional Professional Modifier Low / Median / High Price $978.68 / $1,325.49 / $2,205.69	Professional		$978.68	$1,325.49	$2,205.69