Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,548.82	Professional		$851.14	$954.99	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,479.11	Professional		$1,122.02	$1,122.02	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,230.27	Professional		$891.25	$891.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $4,168.69	Professional		$1,380.38	$3,019.95	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,949.84	Professional		$691.83	$1,047.13	$1,949.84