Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.80 / $1,614.00 / $7,727.00	Facility		$790.80	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.80 / $790.80 / $790.80	Professional		$790.80	$790.80	$790.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $795.16 / $805.00 / $4,131.00	Professional		$795.16	$805.00	$4,131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.09 / $1,082.15 / $1,890.52	Professional		$725.09	$1,082.15	$1,890.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $853.04 / $1,772.25 / $1,772.25	Professional		$853.04	$1,772.25	$1,772.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $6,073.00 / $26,408.00	Facility		$1,832.00	$6,073.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.42 / $1,082.15 / $2,097.67	Professional		$592.42	$1,082.15	$2,097.67