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 $646.15 / $646.15 / $1,563.68	Professional		$646.15	$646.15	$1,563.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.61 / $701.35 / $5,478.00	Professional		$487.61	$701.35	$5,478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.51 / $891.54 / $1,719.00	Professional		$621.51	$891.54	$1,719.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.56 / $1,429.21 / $1,429.21	Professional		$690.56	$1,429.21	$1,429.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $41,544.00	Facility		$4,062.00	$12,159.00	$41,544.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.11 / $805.01 / $1,730.39	Professional		$443.11	$805.01	$1,730.39