Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $6,606.93	Facility		$1,047.13	$1,698.24	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,122.02	Professional		$407.38	$616.60	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $691.83 / $1,862.09	Professional	50	$125.89	$691.83	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,862.09 / $5,495.41	Professional		$446.68	$1,862.09	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,548.82	Professional		$398.11	$562.34	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $26,302.68	Facility		$2,344.23	$10,000.00	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,202.26	Professional		$346.74	$489.78	$1,202.26