Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.90 / $476.90 / $476.90	Professional		$476.90	$476.90	$476.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $496.13 / $519.27 / $4,930.00	Professional		$496.13	$519.27	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.80 / $791.25 / $1,264.19	Professional		$459.80	$791.25	$1,264.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.88 / $1,058.16 / $1,058.16	Professional		$510.88	$1,058.16	$1,058.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.86 / $767.80 / $1,281.15	Professional		$355.86	$767.80	$1,281.15