Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.67 / $3,999.00 / $6,456.00	Facility		$332.67	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $257.64 / $332.67	Professional		$207.16	$257.64	$332.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $256.27 / $4,290.00	Professional		$231.53	$256.27	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.27 / $417.03 / $896.23	Professional		$234.27	$417.03	$896.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.24 / $839.22 / $839.22	Professional		$522.24	$839.22	$839.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $9,938.00 / $26,408.00	Facility		$1,832.00	$9,938.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.76 / $612.33 / $1,016.07	Professional		$237.76	$612.33	$1,016.07