Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.90 / $2,986.00 / $6,268.00	Facility		$797.90	$2,986.00	$6,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.45 / $342.45 / $765.46	Professional		$342.45	$342.45	$765.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $359.92 / $4,930.00	Professional		$329.58	$359.92	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $419.62 / $1,010.42	Professional		$310.45	$419.62	$1,010.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.22 / $671.62 / $671.62	Professional		$307.22	$671.62	$671.62
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 $279.68 / $646.33 / $872.77	Professional		$279.68	$646.33	$872.77