Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.01 / $2,036.00 / $4,100.00	Facility		$909.01	$2,036.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.36 / $406.66 / $581.64	Professional		$329.36	$406.66	$581.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $370.96 / $1,686.00	Professional		$315.80	$370.96	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $475.31 / $1,303.58	Professional		$329.00	$475.31	$1,303.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.29 / $793.73 / $1,122.01	Professional		$510.29	$793.73	$1,122.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.73 / $453.67 / $1,363.94	Professional		$319.73	$453.67	$1,363.94