Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.80 / $3,575.00 / $4,601.00	Facility		$902.80	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.86 / $769.22 / $902.80	Professional		$642.86	$769.22	$902.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.87 / $805.87 / $4,131.00	Professional		$805.87	$805.87	$4,131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.68 / $827.64 / $2,305.78	Professional		$695.68	$827.64	$2,305.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.35 / $2,011.46 / $2,395.11	Professional		$1,039.35	$2,011.46	$2,395.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $893.97 / $2,324.40	Professional		$650.41	$893.97	$2,324.40