Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.98 / $406.98 / $406.98	Professional		$406.98	$406.98	$406.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $620.00 / $690.00	Professional		$620.00	$620.00	$690.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $480.41 / $1,083.86	Professional		$368.82	$480.41	$1,083.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.83 / $881.03 / $881.03	Professional		$430.83	$881.03	$881.03
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 $299.72 / $517.69 / $1,084.39	Professional		$299.72	$517.69	$1,084.39