Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,754.23 / $4,073.80	Facility		$346.74	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $489.78 / $1,659.59	Professional		$144.54	$489.78	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $3,630.78 / $7,943.28	Professional		$112.20	$3,630.78	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,071.52 / $2,951.21	Professional		$251.19	$1,071.52	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,754.23	Professional		$1,258.93	$1,479.11	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $26,915.35	Facility		$3,311.31	$16,218.10	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $645.65 / $2,818.38	Professional		$147.91	$645.65	$2,818.38