Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,754.23 / $4,073.80	Facility		$489.78	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $588.84	Professional		$208.93	$389.05	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $2,089.30	Professional		$199.53	$251.19	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $1,047.13	Professional		$208.93	$407.38	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $933.25	Professional		$436.52	$512.86	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $26,302.68	Facility		$812.83	$4,073.80	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $794.33	Professional		$190.55	$380.19	$794.33