Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,981.07 / $4,570.88	Facility		$870.96	$3,981.07	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $588.84 / $1,000.00	Professional		$181.97	$588.84	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,949.84 / $5,128.61	Professional		$173.78	$1,949.84	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $660.69 / $2,570.40	Professional		$177.83	$660.69	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,778.28	Professional		$794.33	$851.14	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $14,454.40 / $26,302.68	Facility		$2,344.23	$14,454.40	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $489.78 / $1,513.56	Professional		$165.96	$489.78	$1,513.56