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 $574.66 / $574.66 / $574.66	Professional		$574.66	$574.66	$574.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $582.97 / $624.80 / $4,930.00	Professional		$582.97	$624.80	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.70 / $982.92 / $1,524.60	Professional		$553.70	$982.92	$1,524.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.23 / $1,273.24 / $1,273.24	Professional		$615.23	$1,273.24	$1,273.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.46 / $709.48 / $1,541.55	Professional		$401.46	$709.48	$1,541.55