Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.72 / $2,080.00 / $4,100.00	Facility		$327.72	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $628.54 / $870.25	Professional		$142.97	$628.54	$870.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $148.34 / $472.00	Professional		$148.34	$148.34	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $399.48 / $1,550.74	Professional		$132.47	$399.48	$1,550.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.62 / $691.28 / $1,482.35	Professional		$284.62	$691.28	$1,482.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $26,408.00	Facility		$2,648.00	$9,894.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.79 / $849.70 / $1,801.98	Professional		$623.79	$849.70	$1,801.98