Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.40 / $1,614.00 / $7,727.00	Facility		$808.40	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.40 / $808.40 / $808.40	Professional		$808.40	$808.40	$808.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $779.66 / $810.54 / $932.45	Professional		$779.66	$810.54	$932.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.12 / $853.12 / $1,657.77	Professional		$578.12	$853.12	$1,657.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,440.74 / $1,440.74 / $1,440.74	Professional		$1,440.74	$1,440.74	$1,440.74
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $954.26 / $1,942.47	Professional		$611.41	$954.26	$1,942.47