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 $427.29 / $427.29 / $427.29	Professional		$427.29	$427.29	$427.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.93 / $464.30 / $4,290.00	Professional		$463.93	$464.30	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.12 / $705.06 / $1,159.82	Professional		$424.12	$705.06	$1,159.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.64 / $946.14 / $946.14	Professional		$459.64	$946.14	$946.14
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 $405.99 / $847.69 / $1,145.52	Professional		$405.99	$847.69	$1,145.52