Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,882.00 / $4,975.00	Facility		$1,017.00	$3,882.00	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.30 / $910.77 / $1,166.65	Professional		$736.30	$910.77	$1,166.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $881.63 / $881.63 / $4,290.00	Professional		$881.63	$881.63	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $890.74 / $2,441.50	Professional		$718.57	$890.74	$2,441.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.59 / $2,161.71 / $2,574.02	Professional		$1,118.59	$2,161.71	$2,574.02
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 $674.70 / $1,231.96 / $2,657.14	Professional		$674.70	$1,231.96	$2,657.14