Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,754.23 / $4,073.80	Facility		$489.78	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $1,148.15	Professional		$223.87	$407.38	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $4,073.80	Professional		$213.80	$316.23	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $1,148.15	Professional		$223.87	$501.19	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $1,122.02	Professional		$549.54	$602.56	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $977.24	Professional		$194.98	$436.52	$977.24