Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.74 / $1,614.00 / $7,727.00	Facility		$538.74	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.74 / $538.74 / $538.74	Professional		$538.74	$538.74	$538.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $506.87 / $576.84	Professional		$494.80	$506.87	$576.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.30 / $586.60 / $1,109.18	Professional		$398.30	$586.60	$1,109.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.89 / $957.89 / $957.89	Professional		$957.89	$957.89	$957.89
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 $414.51 / $661.76 / $1,291.47	Professional		$414.51	$661.76	$1,291.47