Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,073.80	Facility		$1,412.54	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,479.11 / $4,168.69	Professional		$165.96	$1,479.11	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $630.96 / $15,848.93	Professional		$165.96	$630.96	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $3,388.44	Professional		$138.04	$380.19	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $3,715.35 / $4,073.80	Professional		$323.59	$3,715.35	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $12,302.69 / $42,657.95	Facility		$4,073.80	$12,302.69	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $436.52 / $4,365.16	Professional		$141.25	$436.52	$4,365.16