Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.42 / $806.42 / $806.42	Professional		$806.42	$806.42	$806.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $829.44 / $1,575.00	Professional		$596.00	$829.44	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.89 / $1,124.76 / $2,145.13	Professional		$774.89	$1,124.76	$2,145.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.99 / $1,784.10 / $1,784.10	Professional		$860.99	$1,784.10	$1,784.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.48 / $1,006.20 / $2,160.06	Professional		$585.48	$1,006.20	$2,160.06