Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $116.68 / $116.68	Professional		$116.68	$116.68	$116.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $1,370.05 / $1,452.25	Facility		$1,370.05	$1,370.05	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,849.57	Professional		$1,452.25	$1,452.25	$1,849.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.41 / $1,234.41 / $2,699.85	Professional		$1,234.41	$1,234.41	$2,699.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,353.78	Professional		$1,452.25	$1,452.25	$2,353.78