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 $728.52 / $728.52 / $728.52	Professional		$728.52	$728.52	$728.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.62 / $787.11 / $4,930.00	Professional		$775.62	$787.11	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.29 / $896.01 / $1,939.04	Professional		$637.29	$896.01	$1,939.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.59 / $1,603.96 / $1,603.96	Professional		$775.59	$1,603.96	$1,603.96
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.33 / $928.30 / $1,941.97	Professional		$512.33	$928.30	$1,941.97