Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,080.00 / $4,047.00	Facility		$632.00	$2,080.00	$4,047.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $368.81 / $496.92	Professional		$160.11	$368.81	$496.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $181.07 / $2,116.00	Professional		$165.51	$181.07	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $320.50 / $971.72	Professional		$161.60	$320.50	$971.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.27 / $763.93 / $763.93	Professional		$337.27	$763.93	$763.93
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $596.04 / $885.14	Professional		$309.77	$596.04	$885.14