Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.88 / $2,080.00 / $4,100.00	Facility		$854.88	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.11 / $997.73 / $1,263.20	Professional		$795.11	$997.73	$1,263.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $941.41 / $941.41 / $2,116.00	Professional		$941.41	$941.41	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.34 / $957.76 / $2,607.84	Professional		$774.34	$957.76	$2,607.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.77 / $2,319.13 / $2,761.46	Professional		$1,202.77	$2,319.13	$2,761.46
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 $720.83 / $1,040.40 / $2,679.94	Professional		$720.83	$1,040.40	$2,679.94