Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.82 / $3,999.00 / $6,456.00	Facility		$258.82	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $339.62 / $475.54	Professional		$140.34	$339.62	$475.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $164.59 / $4,290.00	Professional		$151.00	$164.59	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $430.96 / $704.91	Professional		$241.84	$430.96	$704.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.06 / $567.73 / $567.73	Professional		$312.06	$567.73	$567.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.65 / $601.00 / $998.19	Professional		$390.65	$601.00	$998.19