Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.15 / $3,999.00 / $4,975.00	Facility		$1,271.15	$3,999.00	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $667.00 / $1,271.15	Professional		$488.01	$667.00	$1,271.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $622.62 / $4,930.00	Professional		$602.96	$622.62	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.71 / $1,070.54 / $2,528.85	Professional		$526.71	$1,070.54	$2,528.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.96 / $2,062.36 / $2,062.36	Professional		$1,175.96	$2,062.36	$2,062.36
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 $593.66 / $1,197.95 / $2,496.96	Professional		$593.66	$1,197.95	$2,496.96