Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $1,793.00 / $4,100.00	Facility		$670.00	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.33 / $567.33 / $1,372.93	Professional		$567.33	$567.33	$1,372.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $597.04 / $3,307.00	Professional		$495.00	$597.04	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $668.80 / $1,760.60	Professional		$533.70	$668.80	$1,760.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $1,277.47 / $1,277.47	Professional		$618.02	$1,277.47	$1,277.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $26,408.00	Facility		$2,648.00	$9,894.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $657.24 / $1,476.22	Professional		$478.42	$657.24	$1,476.22