Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.29 / $1,587.50 / $3,175.00	Facility		$428.29	$1,587.50	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $428.29 / $1,629.78	Professional		$176.98	$428.29	$1,629.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $164.19 / $13,025.00	Professional		$150.63	$164.19	$13,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $360.54 / $1,184.53	Professional		$138.50	$360.54	$1,184.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $1,369.61 / $1,369.61	Professional		$314.64	$1,369.61	$1,369.61
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.82 / $949.58 / $1,846.58	Professional		$678.82	$949.58	$1,846.58