Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.25 / $1,614.00 / $7,727.00	Facility		$811.25	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.25 / $811.25 / $811.25	Professional		$811.25	$811.25	$811.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $871.47 / $921.76 / $13,025.00	Professional		$871.47	$921.76	$13,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.31 / $1,181.75 / $2,162.44	Professional		$778.31	$1,181.75	$2,162.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.79 / $1,792.03 / $1,792.03	Professional		$864.79	$1,792.03	$1,792.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.52 / $1,488.97 / $2,169.66	Professional		$619.52	$1,488.97	$2,169.66