Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,174.90	Professional		$707.95	$812.83	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Professional		$870.96	$870.96	$1,174.90
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 $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $3,311.31	Professional		$1,096.48	$2,398.83	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Professional		$549.54	$851.14	$1,258.93