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 $901.63 / $901.63 / $901.63	Professional		$901.63	$901.63	$901.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $953.63 / $976.52 / $4,930.00	Professional		$953.63	$976.52	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.48 / $1,318.79 / $2,400.96	Professional		$863.48	$1,318.79	$2,400.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.42 / $1,989.95 / $1,989.95	Professional		$959.42	$1,989.95	$1,989.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.54 / $1,782.88 / $2,409.29	Professional		$767.54	$1,782.88	$2,409.29