Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.92 / $3,575.00 / $4,601.00	Facility		$435.92	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.97 / $329.28 / $435.92	Professional		$285.97	$329.28	$435.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.49 / $330.93 / $3,307.00	Professional		$314.49	$330.93	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $569.13 / $1,167.98	Professional		$286.76	$569.13	$1,167.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.87 / $965.90 / $965.90	Professional		$640.87	$965.90	$965.90
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 $368.82 / $961.85 / $1,169.44	Professional		$368.82	$961.85	$1,169.44