Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.60 / $1,614.00 / $7,727.00	Facility		$849.60	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.60 / $849.60 / $849.60	Professional		$849.60	$849.60	$849.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $745.63 / $878.83 / $7,775.00	Professional		$745.63	$878.83	$7,775.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.26 / $916.96 / $1,749.85	Professional		$641.26	$916.96	$1,749.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.44 / $1,519.44 / $1,519.44	Professional		$1,519.44	$1,519.44	$1,519.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,119.31 / $2,048.58	Professional		$698.66	$1,119.31	$2,048.58