Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,202.26	Professional		$724.44	$794.33	$1,202.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,230.27	Professional		$954.99	$954.99	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,148.15	Professional		$812.83	$812.83	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $3,548.13	Professional		$1,174.90	$2,570.40	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,659.59	Professional		$588.84	$891.25	$1,659.59