Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.09 / $1,614.00 / $7,727.00	Facility		$414.09	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.09 / $457.04 / $1,106.03	Professional		$414.09	$457.04	$1,106.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $337.21 / $476.41 / $1,410.00	Professional		$337.21	$476.41	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $522.09 / $1,210.40	Professional		$408.88	$522.09	$1,210.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $922.28 / $1,016.65 / $1,016.65	Professional		$922.28	$1,016.65	$1,016.65
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 $312.25 / $818.10 / $1,230.89	Professional		$312.25	$818.10	$1,230.89