Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.24 / $505.24 / $1,222.68	Professional		$505.24	$505.24	$1,222.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $524.48 / $2,298.00	Professional		$412.00	$524.48	$2,298.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.23 / $651.97 / $1,337.44	Professional		$487.23	$651.97	$1,337.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.36 / $1,121.14 / $1,121.14	Professional		$541.36	$1,121.14	$1,121.14
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $911.22 / $1,357.39	Professional		$378.70	$911.22	$1,357.39