Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,754.23 / $4,073.80	Facility		$676.08	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $630.96	Professional		$173.78	$218.78	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $2,089.30	Professional		$173.78	$213.80	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $1,000.00	Professional		$173.78	$281.84	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,258.93	Professional		$380.19	$645.65	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,606.93 / $26,302.68	Facility		$1,023.29	$6,606.93	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $691.83	Professional		$154.88	$223.87	$691.83