Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.67 / $1,614.00 / $7,727.00	Facility		$746.67	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.67 / $746.67 / $746.67	Professional		$746.67	$746.67	$746.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $804.28 / $814.53 / $920.00	Professional		$804.28	$814.53	$920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.86 / $1,008.22 / $2,511.04	Professional		$728.86	$1,008.22	$2,511.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.26 / $1,576.85 / $1,576.85	Professional		$721.26	$1,576.85	$1,576.85
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.49 / $1,506.22 / $1,827.03	Professional		$692.49	$1,506.22	$1,827.03