Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.31 / $1,614.00 / $7,727.00	Facility		$775.31	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.31 / $775.31 / $775.31	Professional		$775.31	$775.31	$775.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $787.64 / $883.15 / $13,025.00	Professional		$787.64	$883.15	$13,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.43 / $1,032.11 / $2,071.86	Professional		$738.43	$1,032.11	$2,071.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.48 / $1,705.86 / $1,705.86	Professional		$820.48	$1,705.86	$1,705.86
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 $536.15 / $945.39 / $2,065.34	Professional		$536.15	$945.39	$2,065.34