Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.01 / $387.01 / $387.01	Professional		$387.01	$387.01	$387.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $424.39 / $2,116.00	Professional		$341.00	$424.39	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.33 / $650.41 / $1,017.72	Professional		$378.33	$650.41	$1,017.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $864.81 / $864.81	Professional		$420.36	$864.81	$864.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $455.71 / $1,047.05	Professional		$251.62	$455.71	$1,047.05