Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.15 / $3,670.00 / $4,047.00	Facility		$354.15	$3,670.00	$4,047.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $213.26 / $322.08	Professional		$131.69	$213.26	$322.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $153.44 / $1,686.00	Professional		$125.23	$153.44	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $271.64 / $679.17	Professional		$138.10	$271.64	$679.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.43 / $311.92 / $624.85	Professional		$283.43	$311.92	$624.85
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 $197.79 / $270.12 / $759.59	Professional		$197.79	$270.12	$759.59