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 $204.17 / $302.00 / $616.60	Professional		$204.17	$302.00	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,230.27 / $2,454.71	Professional		$223.87	$1,230.27	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $758.58	Professional		$194.98	$316.23	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $616.60	Professional		$302.00	$354.81	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $645.65	Professional		$173.78	$263.03	$645.65