Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.43 / $1,614.00 / $7,727.00	Facility		$663.43	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.43 / $663.43 / $663.43	Professional		$663.43	$663.43	$663.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $929.90 / $1,038.23	Professional		$845.00	$929.90	$1,038.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.18 / $1,082.78 / $2,049.02	Professional		$730.18	$1,082.78	$2,049.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.09 / $1,800.20 / $1,800.20	Professional		$816.09	$1,800.20	$1,800.20
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.53 / $1,546.15 / $2,089.39	Professional		$742.53	$1,546.15	$2,089.39