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 $745.93 / $745.93 / $745.93	Professional		$745.93	$745.93	$745.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $809.06 / $1,575.00	Professional		$596.00	$809.06	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.61 / $1,205.54 / $1,984.68	Professional		$715.61	$1,205.54	$1,984.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.12 / $1,648.70 / $1,648.70	Professional		$795.12	$1,648.70	$1,648.70
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 $516.12 / $1,087.10 / $1,996.13	Professional		$516.12	$1,087.10	$1,996.13