Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.48 / $2,080.00 / $4,100.00	Facility		$622.48	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.34 / $584.34 / $622.48	Professional		$584.34	$584.34	$622.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $636.32 / $1,410.00	Professional		$591.00	$636.32	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.61 / $826.26 / $1,649.22	Professional		$578.61	$826.26	$1,649.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.68 / $1,379.76 / $1,379.76	Professional		$1,296.68	$1,379.76	$1,379.76
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.11 / $826.27 / $1,670.51	Professional		$426.11	$826.27	$1,670.51