Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.78 / $1,614.00 / $7,727.00	Facility		$850.78	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $850.78 / $850.78	Professional		$850.78	$850.78	$850.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $863.82 / $973.01 / $5,899.00	Professional		$863.82	$973.01	$5,899.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.28 / $1,011.94 / $2,516.17	Professional		$772.28	$1,011.94	$2,516.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.24 / $1,672.28 / $1,672.28	Professional		$764.24	$1,672.28	$1,672.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.38 / $1,085.15 / $2,173.13	Professional		$668.38	$1,085.15	$2,173.13