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 $694.06 / $694.06 / $694.06	Professional		$694.06	$694.06	$694.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $752.94 / $1,575.00	Professional		$596.00	$752.94	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.39 / $976.30 / $1,846.84	Professional		$666.39	$976.30	$1,846.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.44 / $1,534.34 / $1,534.34	Professional		$740.44	$1,534.34	$1,534.34
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 $523.66 / $1,313.96 / $1,857.67	Professional		$523.66	$1,313.96	$1,857.67