Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.25 / $3,575.00 / $4,601.00	Facility		$767.25	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.95 / $633.95 / $767.25	Professional		$633.95	$633.95	$767.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.66 / $538.50 / $3,307.00	Professional		$426.66	$538.50	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.34 / $1,005.38 / $2,080.73	Professional		$596.34	$1,005.38	$2,080.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.65 / $1,669.21 / $1,669.21	Professional		$1,379.65	$1,669.21	$1,669.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $2,962.56 / $26,408.00	Facility		$1,030.00	$2,962.56	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.44 / $1,041.60 / $2,020.97	Professional		$546.44	$1,041.60	$2,020.97