Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,495.41 / $7,762.47	Facility		$724.44	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $2,398.83	Professional		$724.44	$870.96	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $5,495.41	Professional		$537.03	$977.24	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,238.72	Professional		$794.33	$1,148.15	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,949.84	Professional		$794.33	$831.76	$1,949.84
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 $758.58 / $1,096.48 / $2,137.96	Professional		$758.58	$1,096.48	$2,137.96