Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.85 / $406.85 / $406.85	Professional		$406.85	$406.85	$406.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.66 / $363.69 / $1,497.00	Professional		$333.66	$363.69	$1,497.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.36 / $402.02 / $831.07	Professional		$264.36	$402.02	$831.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.17 / $730.17 / $730.17	Professional		$730.17	$730.17	$730.17
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 $297.06 / $417.10 / $984.44	Professional		$297.06	$417.10	$984.44