Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.86 / $3,575.00 / $4,601.00	Facility		$487.86	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.65 / $435.65 / $487.86	Professional		$435.65	$435.65	$487.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $381.93 / $475.09 / $1,575.00	Professional		$381.93	$475.09	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.51 / $588.61 / $1,129.39	Professional		$432.51	$588.61	$1,129.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.13 / $1,084.28 / $1,084.28	Professional		$968.13	$1,084.28	$1,084.28
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $504.53 / $1,247.14	Professional		$337.12	$504.53	$1,247.14