Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.19 / $1,614.00 / $7,727.00	Facility		$943.19	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.19 / $943.19 / $943.19	Professional		$943.19	$943.19	$943.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,019.95 / $1,026.03 / $1,111.75	Professional		$1,019.95	$1,026.03	$1,111.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.23 / $1,200.36 / $2,995.75	Professional		$918.23	$1,200.36	$2,995.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.67 / $1,986.29 / $1,986.29	Professional		$908.67	$1,986.29	$1,986.29
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 $794.27 / $1,291.64 / $2,301.44	Professional		$794.27	$1,291.64	$2,301.44