Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.41 / $1,793.00 / $4,100.00	Facility		$568.41	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $431.87 / $568.41	Professional		$295.18	$431.87	$568.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $530.84 / $3,430.00	Professional		$384.01	$530.84	$3,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $409.22 / $1,171.99	Professional		$313.64	$409.22	$1,171.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $530.05 / $1,016.09	Professional		$457.78	$530.05	$1,016.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $392.43 / $1,177.30	Professional		$295.25	$392.43	$1,177.30