Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.32 / $3,575.00 / $4,100.00	Facility		$523.32	$3,575.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $260.69 / $557.12	Professional		$216.25	$260.69	$557.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.67 / $300.48 / $2,116.00	Professional		$275.67	$300.48	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.61 / $343.17 / $689.24	Professional		$244.61	$343.17	$689.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $706.71 / $706.71	Professional		$317.64	$706.71	$706.71
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 $273.52 / $730.01 / $820.24	Professional		$273.52	$730.01	$820.24