Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.28 / $3,999.00 / $6,456.00	Facility		$643.28	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.94 / $555.74 / $1,111.48	Professional		$409.94	$555.74	$1,111.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $341.31 / $453.94 / $3,944.00	Professional		$341.31	$453.94	$3,944.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.31 / $633.25 / $1,336.36	Professional		$337.31	$633.25	$1,336.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.81 / $1,133.47 / $1,133.47	Professional		$731.81	$1,133.47	$1,133.47
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 $494.66 / $1,065.18 / $1,766.21	Professional		$494.66	$1,065.18	$1,766.21