Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,495.41 / $7,762.47	Facility		$489.78	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,621.81	Professional		$489.78	$588.84	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $4,365.16 / $9,120.11	Professional		$676.08	$4,365.16	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,513.56	Professional		$549.54	$776.25	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $1,348.96	Professional		$549.54	$575.44	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,479.11	Professional		$512.86	$724.44	$1,479.11