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 $903.97 / $903.97 / $2,290.05	Professional		$903.97	$903.97	$2,290.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.35 / $968.93 / $4,930.00	Professional		$870.35	$968.93	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.11 / $1,330.13 / $2,433.11	Professional		$848.11	$1,330.13	$2,433.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.35 / $1,974.48 / $1,974.48	Professional		$942.35	$1,974.48	$1,974.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $26,408.00	Facility		$2,648.00	$9,894.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.39 / $1,071.01 / $2,390.57	Professional		$611.39	$1,071.01	$2,390.57