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 $776.10 / $776.10 / $776.10	Professional		$776.10	$776.10	$776.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $804.57 / $841.53 / $6,458.00	Professional		$804.57	$841.53	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.42 / $1,146.56 / $2,064.87	Professional		$744.42	$1,146.56	$2,064.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.13 / $1,714.87 / $1,714.87	Professional		$827.13	$1,714.87	$1,714.87
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 $582.17 / $1,057.29 / $2,076.23	Professional		$582.17	$1,057.29	$2,076.23