Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,945.00	Facility		$1,017.00	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.03 / $816.03 / $816.03	Professional		$816.03	$816.03	$816.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $846.57 / $890.00 / $10,088.00	Professional		$846.57	$890.00	$10,088.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.43 / $1,337.86 / $2,158.73	Professional		$816.43	$1,337.86	$2,158.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.45 / $1,808.19 / $1,808.19	Professional		$884.45	$1,808.19	$1,808.19
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 $742.67 / $1,235.17 / $2,196.46	Professional		$742.67	$1,235.17	$2,196.46