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 / $7,007.00	Facility		$1,017.00	$4,100.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.72 / $902.72 / $902.72	Professional		$902.72	$902.72	$902.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $981.43 / $1,029.02 / $17,267.00	Professional		$981.43	$1,029.02	$17,267.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.39 / $1,260.52 / $2,404.30	Professional		$864.39	$1,260.52	$2,404.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.43 / $1,992.09 / $1,992.09	Professional		$960.43	$1,992.09	$1,992.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.49 / $1,135.13 / $2,411.88	Professional		$645.49	$1,135.13	$2,411.88