Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.38 / $622.38 / $622.38	Professional		$622.38	$622.38	$622.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $675.86 / $1,575.00	Professional		$596.00	$675.86	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.78 / $890.11 / $1,656.79	Professional		$597.78	$890.11	$1,656.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.20 / $1,377.26 / $1,377.26	Professional		$664.20	$1,377.26	$1,377.26
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 $459.95 / $1,132.04 / $1,667.48	Professional		$459.95	$1,132.04	$1,667.48