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 $625.70 / $625.70 / $1,585.12	Professional		$625.70	$625.70	$1,585.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $700.00 / $4,930.00	Professional		$672.64	$700.00	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.97 / $925.84 / $1,681.59	Professional		$625.97	$925.84	$1,681.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.52 / $1,420.35 / $1,420.35	Professional		$695.52	$1,420.35	$1,420.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.87 / $828.74 / $1,719.66	Professional		$539.87	$828.74	$1,719.66