Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.93 / $2,080.00 / $4,100.00	Facility		$411.93	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $411.93 / $996.87	Professional		$367.50	$411.93	$996.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $355.10 / $400.95 / $3,307.00	Professional		$355.10	$400.95	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.22 / $477.19 / $1,088.79	Professional		$362.22	$477.19	$1,088.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.04 / $915.45 / $915.45	Professional		$817.04	$915.45	$915.45
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.19 / $724.05 / $1,108.35	Professional		$268.19	$724.05	$1,108.35