Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,073.80 / $7,762.47	Facility		$891.25	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $2,454.71	Professional		$776.25	$870.96	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,398.83 / $9,120.11	Professional		$851.14	$2,398.83	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,398.83	Professional		$851.14	$1,258.93	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,862.09 / $1,995.26	Professional		$851.14	$1,862.09	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,398.83	Professional		$707.95	$1,148.15	$2,398.83