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 $824.39 / $824.39 / $824.39	Professional		$824.39	$824.39	$824.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $781.96 / $893.49 / $8,069.00	Professional		$781.96	$893.49	$8,069.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.01 / $1,210.19 / $2,195.89	Professional		$791.01	$1,210.19	$2,195.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.90 / $1,820.75 / $1,820.75	Professional		$878.90	$1,820.75	$1,820.75
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 $650.41 / $1,631.29 / $2,204.44	Professional		$650.41	$1,631.29	$2,204.44