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 $812.52 / $812.52 / $1,966.29	Professional		$812.52	$812.52	$1,966.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $859.82 / $887.55 / $5,478.00	Professional		$859.82	$887.55	$5,478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.32 / $1,398.92 / $2,186.84	Professional		$782.32	$1,398.92	$2,186.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.25 / $1,808.64 / $1,808.64	Professional		$869.25	$1,808.64	$1,808.64
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 $625.25 / $1,711.53 / $2,236.13	Professional		$625.25	$1,711.53	$2,236.13