Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.72 / $3,575.00 / $4,601.00	Facility		$723.72	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.47 / $649.51 / $723.72	Professional		$565.47	$649.51	$723.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $673.24 / $673.24 / $12,611.00	Professional		$673.24	$673.24	$12,611.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.88 / $668.10 / $1,880.77	Professional		$600.88	$668.10	$1,880.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.01 / $1,622.62 / $1,932.11	Professional		$839.01	$1,622.62	$1,932.11
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,680.00 / $26,408.00	Facility		$808.00	$2,680.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.20 / $716.43 / $1,875.07	Professional		$529.20	$716.43	$1,875.07