Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.10 / $2,464.00 / $4,975.00	Facility		$615.10	$2,464.00	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $615.10 / $1,488.54	Professional		$441.45	$615.10	$1,488.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.24 / $483.91 / $4,290.00	Professional		$467.24	$483.91	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.84 / $781.09 / $1,643.56	Professional		$440.84	$781.09	$1,643.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.10 / $1,359.53 / $1,359.53	Professional		$986.10	$1,359.53	$1,359.53
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 $449.43 / $809.24 / $1,646.02	Professional		$449.43	$809.24	$1,646.02