Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.72 / $3,575.00 / $4,601.00	Facility		$433.72	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $383.06 / $708.55	Professional		$250.93	$383.06	$708.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $308.39 / $2,116.00	Professional		$292.95	$308.39	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $547.89 / $1,159.47	Professional		$280.89	$547.89	$1,159.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.45 / $960.76 / $960.76	Professional		$628.45	$960.76	$960.76
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 $355.26 / $860.78 / $1,163.22	Professional		$355.26	$860.78	$1,163.22