Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,862.09 / $4,073.80	Facility		$645.65	$1,862.09	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,258.93	Professional		$436.52	$562.34	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $2,454.71	Professional		$338.84	$645.65	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,348.96	Professional		$512.86	$691.83	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,479.11	Professional		$676.08	$776.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,128.31 / $26,302.68	Facility		$1,023.29	$8,128.31	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,380.38	Professional		$478.63	$645.65	$1,380.38