Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.30 / $849.30 / $849.30	Facility		$849.30	$849.30	$849.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.30 / $849.30 / $1,130.26	Professional		$849.30	$849.30	$1,130.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $1,418.53	Professional		$1,113.00	$1,113.00	$1,418.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $932.55	Professional		$932.55	$932.55	$932.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.82 / $1,348.82 / $4,119.21	Professional		$1,348.82	$1,348.82	$4,119.21
United Facility/Professional Professional Modifier Low / Median / High Price $690.17 / $1,035.25 / $1,555.47	Professional		$690.17	$1,035.25	$1,555.47