Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $870.96	Professional		$562.34	$645.65	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Professional		$645.65	$645.65	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,000.00	Professional		$676.08	$676.08	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,737.80 / $2,398.83	Professional		$812.83	$1,737.80	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $933.25	Professional		$407.38	$630.96	$933.25