Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,073.80 / $7,762.47	Facility		$831.76	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,513.56	Professional		$724.44	$812.83	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,238.72 / $6,025.60	Professional		$794.33	$2,238.72	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,238.72	Professional		$794.33	$977.24	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,659.59 / $1,862.09	Professional		$794.33	$1,659.59	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,128.31 / $26,302.68	Facility		$1,023.29	$8,128.31	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,000.00 / $2,238.72	Professional		$478.63	$1,000.00	$2,238.72