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 $576.98 / $576.98 / $576.98	Professional		$576.98	$576.98	$576.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $619.86 / $659.26 / $3,307.00	Professional		$619.86	$659.26	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.66 / $990.43 / $1,532.34	Professional		$554.66	$990.43	$1,532.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.29 / $1,276.27 / $1,276.27	Professional		$616.29	$1,276.27	$1,276.27
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 $406.76 / $716.88 / $1,545.22	Professional		$406.76	$716.88	$1,545.22