Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $6,309.57	Facility		$1,698.24	$4,073.80	$6,309.57
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	22	$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $2,137.96	Professional		$489.78	$831.76	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,235.94 / $7,079.46	Professional		$776.25	$3,235.94	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,819.70	Professional		$616.60	$758.58	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $691.83 / $1,584.89	Professional		$660.69	$691.83	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,803.84 / $26,302.68	Facility		$2,344.23	$13,803.84	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,778.28	Professional		$562.34	$794.33	$1,778.28