Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.70 / $3,575.00 / $4,601.00	Facility		$642.70	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.26 / $441.71 / $642.70	Professional		$340.26	$441.71	$642.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $403.78 / $2,642.00	Professional		$402.96	$403.78	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.47 / $504.17 / $1,176.18	Professional		$336.47	$504.17	$1,176.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.48 / $1,248.69 / $1,248.69	Professional		$549.48	$1,248.69	$1,248.69
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.21 / $525.54 / $1,491.86	Professional		$408.21	$525.54	$1,491.86