Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,584.89 / $4,073.80	Facility		$120.23	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $389.05	Professional		$107.15	$173.78	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $1,071.52 / $4,073.80	Professional		$120.23	$1,071.52	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $338.84	Professional		$120.23	$173.78	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $398.11	Professional		$186.21	$275.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,760.83 / $26,302.68	Facility		$1,023.29	$6,760.83	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $338.84	Professional		$104.71	$158.49	$338.84