Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.50 / $1,587.50 / $3,175.00	Facility		$558.50	$1,587.50	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $647.86 / $1,628.20	Professional		$87.45	$647.86	$1,628.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $114.78 / $1,575.00	Professional		$104.75	$114.78	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $575.54 / $1,781.10	Professional		$89.97	$575.54	$1,781.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.47 / $1,396.18 / $1,396.18	Professional		$612.47	$1,396.18	$1,396.18
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.78 / $1,332.35 / $1,613.40	Professional		$724.78	$1,332.35	$1,613.40