Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.73 / $2,682.00 / $3,175.00	Facility		$331.73	$2,682.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $298.92 / $366.61	Professional		$133.31	$298.92	$366.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $129.44 / $1,030.00	Professional		$129.44	$129.44	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $300.54 / $782.81	Professional		$123.72	$300.54	$782.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $332.45 / $704.33	Professional		$267.99	$332.45	$704.33
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 $247.55 / $366.97 / $824.18	Professional		$247.55	$366.97	$824.18