Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $393.04 / $1,639.83	Professional		$263.95	$393.04	$1,639.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $285.80 / $285.80 / $471.57	Professional		$285.80	$285.80	$471.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $800.76 / $2,909.93	Professional		$297.29	$800.76	$2,909.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.78 / $1,486.82 / $2,894.36	Professional		$628.78	$1,486.82	$2,894.36
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 $989.60 / $1,954.46 / $3,902.31	Professional		$989.60	$1,954.46	$3,902.31