Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.41 / $1,685.00 / $4,467.00	Facility		$642.41	$1,685.00	$4,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.48 / $468.84 / $468.84	Professional		$287.48	$468.84	$468.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $286.89 / $2,116.00	Professional		$214.58	$286.89	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $440.33 / $964.92	Professional		$275.63	$440.33	$964.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.15 / $975.61 / $975.61	Professional		$457.15	$975.61	$975.61
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.06 / $604.64 / $1,137.50	Professional		$385.06	$604.64	$1,137.50