Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,230.27	Professional		$831.76	$933.25	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Professional		$1,288.25	$1,288.25	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,380.38	Professional		$977.24	$977.24	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $3,981.07	Professional		$1,348.96	$2,884.03	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,862.09	Professional		$676.08	$1,000.00	$1,862.09