Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $4,073.80	Facility		$891.25	$1,862.09	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,380.38	Professional		$562.34	$758.58	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $2,290.87 / $2,398.83	Professional	50	$1,148.15	$2,290.87	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,454.71	Professional		$562.34	$1,071.52	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,949.84	Professional		$549.54	$724.44	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,584.89	Professional		$758.58	$870.96	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $26,302.68	Facility		$1,023.29	$4,786.30	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,698.24	Professional		$467.74	$645.65	$1,698.24