Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.29 / $1,927.00 / $4,100.00	Facility		$433.29	$1,927.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $256.73 / $554.29	Professional		$175.97	$256.73	$554.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $188.51 / $1,686.00	Professional		$185.43	$188.51	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $404.77 / $1,194.72	Professional		$170.43	$404.77	$1,194.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.86 / $495.64 / $1,056.98	Professional		$377.86	$495.64	$1,056.98
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 $169.18 / $421.33 / $1,284.90	Professional		$169.18	$421.33	$1,284.90