Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.93 / $2,080.00 / $4,337.00	Facility		$823.93	$2,080.00	$4,337.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $426.80 / $858.64	Professional		$298.89	$426.80	$858.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $351.06 / $351.06 / $2,642.00	Professional		$351.06	$351.06	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $635.97 / $1,407.96	Professional		$352.21	$635.97	$1,407.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.03 / $1,152.78 / $1,152.78	Professional		$789.03	$1,152.78	$1,152.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.14 / $917.95 / $1,395.71	Professional		$358.14	$917.95	$1,395.71