Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.07 / $1,793.00 / $4,100.00	Facility		$613.07	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.90 / $538.64 / $613.07	Professional		$505.90	$538.64	$613.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $476.64 / $656.29 / $2,268.00	Professional		$476.64	$656.29	$2,268.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.07 / $519.04 / $1,268.23	Professional		$393.07	$519.04	$1,268.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.76 / $575.20 / $1,099.53	Professional		$496.76	$575.20	$1,099.53
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $450.19 / $1,304.23	Professional		$354.22	$450.19	$1,304.23