Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $7,762.47	Facility		$812.83	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,737.80	Professional		$478.63	$776.25	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,949.84 / $7,943.28	Professional		$602.56	$1,949.84	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,778.28	Professional		$602.56	$794.33	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $1,513.56	Professional		$630.96	$660.69	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,737.80	Professional		$549.54	$812.83	$1,737.80