Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.08 / $3,999.00 / $6,456.00	Facility		$1,283.08	$3,999.00	$6,456.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $641.54 / $641.54 / $641.54	Facility	52	$641.54	$641.54	$641.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.86 / $1,283.08 / $1,969.03	Professional		$1,098.86	$1,283.08	$1,969.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,354.12 / $1,354.12 / $4,930.00	Professional		$1,354.12	$1,354.12	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.47 / $1,274.56 / $3,301.79	Professional		$1,174.47	$1,274.56	$3,301.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.78 / $2,884.18 / $2,884.18	Professional		$1,320.78	$2,884.18	$2,884.18
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 $1,116.33 / $1,461.38 / $3,332.90	Professional		$1,116.33	$1,461.38	$3,332.90