Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,073.80 / $7,762.47	Facility		$478.63	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $1,122.02	Professional		$407.38	$467.74	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $2,041.74	Professional		$467.74	$575.44	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,288.25	Professional		$467.74	$707.95	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $1,071.52	Professional		$467.74	$933.25	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,489.63 / $26,915.35	Facility		$3,311.31	$13,489.63	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $1,288.25	Professional		$331.13	$602.56	$1,288.25