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 $676.08 / $758.58 / $1,047.13	Professional		$676.08	$758.58	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,096.48	Professional		$912.01	$912.01	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
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 $1,023.29 / $2,238.72 / $3,090.30	Professional		$1,023.29	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,174.90	Professional		$512.86	$776.25	$1,174.90