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 $973.94 / $973.94 / $973.94	Professional		$973.94	$973.94	$973.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $942.43 / $1,044.57 / $4,930.00	Professional		$942.43	$1,044.57	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.07 / $1,430.99 / $2,618.44	Professional		$913.07	$1,430.99	$2,618.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.52 / $2,128.62 / $2,128.62	Professional		$1,014.52	$2,128.62	$2,128.62
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 $661.65 / $1,144.25 / $2,577.19	Professional		$661.65	$1,144.25	$2,577.19