Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $2,080.00 / $4,100.00	Facility		$437.40	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $437.40 / $1,058.50	Professional		$273.75	$437.40	$1,058.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.69 / $300.95 / $2,642.00	Professional		$282.69	$300.95	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $546.54 / $1,177.32	Professional		$273.85	$546.54	$1,177.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.29 / $965.76 / $965.76	Professional		$613.29	$965.76	$965.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $6,489.22 / $26,408.00	Facility		$1,832.00	$6,489.22	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.42 / $551.89 / $1,169.27	Professional		$304.42	$551.89	$1,169.27