Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.50 / $3,575.00 / $4,601.00	Facility		$842.50	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $3,062.15 / $3,302.97	Professional		$258.42	$3,062.15	$3,302.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $257.33 / $5,359.00	Professional		$254.59	$257.33	$5,359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $2,679.39 / $6,978.19	Professional		$251.47	$2,679.39	$6,978.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.74 / $6,671.28 / $6,671.28	Professional		$544.74	$6,671.28	$6,671.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,296.79 / $4,568.00 / $8,044.26	Professional		$3,296.79	$4,568.00	$8,044.26