Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.73 / $2,080.00 / $3,175.00	Facility		$566.73	$2,080.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.51 / $258.51 / $258.51	Professional		$258.51	$258.51	$258.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $235.60 / $2,116.00	Professional		$196.17	$235.60	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $268.19 / $563.91	Professional		$208.80	$268.19	$563.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $489.29 / $489.29	Professional		$219.28	$489.29	$489.29
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 $194.94 / $467.60 / $584.80	Professional		$194.94	$467.60	$584.80