Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.98 / $1,614.00 / $7,727.00	Facility		$738.98	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.98 / $738.98 / $738.98	Professional		$738.98	$738.98	$738.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $790.26 / $839.25 / $17,267.00	Professional		$790.26	$839.25	$17,267.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $1,343.31 / $1,968.87	Professional		$708.75	$1,343.31	$1,968.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $1,633.58 / $1,633.58	Professional		$787.50	$1,633.58	$1,633.58
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 $608.51 / $1,343.30 / $1,977.82	Professional		$608.51	$1,343.30	$1,977.82