Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.73 / $3,575.00 / $4,601.00	Facility		$665.73	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.16 / $404.70 / $665.73	Professional		$369.16	$404.70	$665.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $382.60 / $383.55 / $1,575.00	Professional		$382.60	$383.55	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.46 / $829.25 / $1,797.47	Professional		$370.46	$829.25	$1,797.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.68 / $1,455.43 / $1,455.43	Professional		$820.68	$1,455.43	$1,455.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.07 / $869.05 / $1,762.14	Professional		$556.07	$869.05	$1,762.14