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 $479.29 / $479.29 / $479.29	Professional		$479.29	$479.29	$479.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.47 / $518.71 / $4,290.00	Professional		$487.47	$518.71	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.46 / $677.80 / $1,267.52	Professional		$465.46	$677.80	$1,267.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.17 / $1,057.02 / $1,057.02	Professional		$517.17	$1,057.02	$1,057.02
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 $349.27 / $596.67 / $1,279.77	Professional		$349.27	$596.67	$1,279.77