Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.90 / $2,080.00 / $4,601.00	Facility		$628.90	$2,080.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $330.98 / $628.90	Professional		$197.83	$330.98	$628.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $192.20 / $7,775.00	Professional		$176.33	$192.20	$7,775.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $403.87 / $1,328.79	Professional		$160.79	$403.87	$1,328.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.31 / $1,094.14 / $1,094.14	Professional		$351.31	$1,094.14	$1,094.14
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 $473.65 / $1,033.44 / $1,662.53	Professional		$473.65	$1,033.44	$1,662.53