Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,073.80 / $6,760.83	Facility		$446.68	$4,073.80	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $489.78 / $1,288.25	Professional		$158.49	$489.78	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,862.09 / $4,073.80	Professional		$213.80	$1,862.09	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $741.31 / $2,238.72	Professional		$177.83	$741.31	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $2,041.74	Professional		$794.33	$831.76	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,760.83 / $26,302.68	Facility		$1,023.29	$6,760.83	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $501.19 / $1,995.26	Professional		$169.82	$501.19	$1,995.26