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 $484.47 / $484.47 / $484.47	Professional		$484.47	$484.47	$484.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.39 / $526.35 / $1,575.00	Professional		$398.39	$526.35	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $765.16 / $1,283.24	Professional		$466.00	$765.16	$1,283.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.78 / $1,072.58 / $1,072.58	Professional		$517.78	$1,072.58	$1,072.58
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 $330.47 / $637.11 / $1,298.61	Professional		$330.47	$637.11	$1,298.61