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 $997.80 / $997.80 / $2,527.73	Professional		$997.80	$997.80	$2,527.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $1,064.80 / $8,069.00	Professional		$697.09	$1,064.80	$8,069.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.36 / $1,051.59 / $2,315.83	Professional		$815.36	$1,051.59	$2,315.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.97 / $2,169.85 / $2,169.85	Professional		$1,029.97	$2,169.85	$2,169.85
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 $539.61 / $1,077.43 / $2,627.10	Professional		$539.61	$1,077.43	$2,627.10