Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.92 / $2,080.00 / $4,100.00	Facility		$263.92	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $260.95 / $263.92	Professional		$260.95	$260.95	$263.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.19 / $286.20 / $1,021.00	Professional		$260.19	$286.20	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $314.82 / $695.79	Professional		$255.08	$314.82	$695.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $588.05 / $588.05	Professional		$583.22	$588.05	$588.05
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $462.24 / $687.26	Professional		$174.23	$462.24	$687.26