Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,073.80 / $7,762.47	Facility		$933.25	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $2,884.03	Professional		$891.25	$954.99	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,949.84 / $7,943.28	Professional		$933.25	$1,949.84	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,511.89	Professional		$891.25	$1,148.15	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $1,949.84	Professional		$812.83	$851.14	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $27,542.29	Facility		$3,311.31	$16,218.10	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,137.96	Professional		$776.25	$1,096.48	$2,137.96