Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.62 / $3,575.00 / $4,601.00	Facility		$357.62	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $357.62 / $470.40	Professional		$176.21	$357.62	$470.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $167.20 / $2,116.00	Professional		$164.96	$167.20	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $306.39 / $659.64	Professional		$155.01	$306.39	$659.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $674.90 / $674.90	Professional		$303.20	$674.90	$674.90
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.12 / $450.64 / $804.12	Professional		$264.12	$450.64	$804.12