Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.88 / $3,575.00 / $4,601.00	Facility		$562.88	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.38 / $494.84 / $562.88	Professional		$465.38	$494.84	$562.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.90 / $555.12 / $4,290.00	Professional		$416.90	$555.12	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.14 / $486.89 / $1,166.58	Professional		$362.14	$486.89	$1,166.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.12 / $529.29 / $1,011.39	Professional		$457.12	$529.29	$1,011.39
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 $318.12 / $414.00 / $1,242.00	Professional		$318.12	$414.00	$1,242.00