Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.59 / $3,575.00 / $4,100.00	Facility		$635.59	$3,575.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $523.00 / $1,098.24	Professional		$287.73	$523.00	$1,098.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $324.87 / $2,642.00	Professional		$296.38	$324.87	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.18 / $477.80 / $1,377.98	Professional		$289.18	$477.80	$1,377.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.82 / $1,087.08 / $1,087.08	Professional		$472.82	$1,087.08	$1,087.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $1,121.02 / $1,259.57	Professional		$443.30	$1,121.02	$1,259.57