Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.90 / $868.90 / $868.90	Facility		$868.90	$868.90	$868.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.90 / $868.90 / $868.90	Professional		$868.90	$868.90	$868.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,356.13 / $1,356.13 / $1,356.13	Professional		$1,356.13	$1,356.13	$1,356.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,124.48	Professional		$1,124.48	$1,124.48	$1,124.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.95 / $1,379.95 / $4,214.27	Professional		$1,379.95	$1,379.95	$4,214.27
United Facility/Professional Professional Modifier Low / Median / High Price $706.09 / $987.10 / $1,591.35	Professional		$706.09	$987.10	$1,591.35