Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.23 / $1,614.00 / $7,727.00	Facility		$885.23	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.23 / $885.23 / $885.23	Professional		$885.23	$885.23	$885.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,241.59 / $1,272.78 / $1,402.12	Professional		$1,241.59	$1,272.78	$1,402.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.79 / $1,473.45 / $2,733.46	Professional		$973.79	$1,473.45	$2,733.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.34 / $2,403.63 / $2,403.63	Professional		$1,088.34	$2,403.63	$2,403.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.60 / $2,064.42 / $2,789.75	Professional		$996.60	$2,064.42	$2,789.75