Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,073.80 / $6,456.54	Facility		$645.65	$4,073.80	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $758.58	Professional		$302.00	$478.63	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,862.09 / $5,370.32	Professional		$309.03	$1,862.09	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,348.96	Professional		$295.12	$446.68	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,148.15	Professional		$537.03	$758.58	$1,148.15
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 $229.09 / $436.52 / $1,071.52	Professional		$229.09	$436.52	$1,071.52