Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.84 / $3,575.00 / $4,601.00	Facility		$775.84	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $552.09 / $775.84	Professional		$522.16	$552.09	$775.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $622.96 / $3,430.00	Professional		$462.44	$622.96	$3,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.96 / $679.10 / $1,599.01	Professional		$414.96	$679.10	$1,599.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.47 / $989.48 / $1,386.30	Professional		$658.47	$989.48	$1,386.30
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 $459.27 / $565.76 / $1,697.28	Professional		$459.27	$565.76	$1,697.28