Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,073.80 / $7,762.47	Facility		$954.99	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $2,290.87	Professional		$741.31	$851.14	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,398.83 / $6,456.54	Professional		$794.33	$2,398.83	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,398.83	Professional		$794.33	$977.24	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,905.46 / $2,137.96	Professional		$891.25	$1,905.46	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $12,022.64 / $26,302.68	Facility		$2,344.23	$12,022.64	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,089.30	Professional		$691.83	$954.99	$2,089.30