Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,754.23 / $4,073.80	Facility		$436.52	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $870.96	Professional		$331.13	$398.11	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,071.52 / $4,073.80	Professional		$380.19	$1,071.52	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $1,071.52	Professional		$354.81	$489.78	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $954.99	Professional		$478.63	$812.83	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,071.52	Professional		$269.15	$489.78	$1,071.52