Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.00 / $2,080.00 / $4,100.00	Facility		$939.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.89 / $804.12 / $1,256.51	Professional		$714.89	$804.12	$1,256.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.68 / $694.68 / $2,642.00	Professional		$694.68	$694.68	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.86 / $816.01 / $2,061.29	Professional		$734.86	$816.01	$2,061.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.86 / $1,813.49 / $1,813.49	Professional		$833.86	$1,813.49	$1,813.49
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.16 / $804.67 / $2,095.64	Professional		$477.16	$804.67	$2,095.64