Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,754.23 / $4,073.80	Facility		$213.80	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $562.34	Professional		$158.49	$213.80	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,258.93 / $5,128.61	Professional		$208.93	$1,258.93	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $562.34	Professional		$177.83	$251.19	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $575.44	Professional		$257.04	$275.42	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,489.63 / $26,302.68	Facility		$2,344.23	$13,489.63	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $512.86	Professional		$158.49	$245.47	$512.86