Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,754.23 / $4,073.80	Facility		$691.83	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $707.95	Professional		$181.97	$316.23	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $2,089.30	Professional		$173.78	$204.17	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $1,621.81	Professional		$181.97	$524.81	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,318.26	Professional		$407.38	$707.95	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,248.07 / $26,302.68	Facility		$812.83	$5,248.07	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $467.74 / $1,122.02	Professional		$169.82	$467.74	$1,122.02