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 $416.99 / $416.99 / $1,557.69	Professional		$416.99	$416.99	$1,557.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.26 / $368.70 / $4,930.00	Professional		$338.26	$368.70	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.68 / $856.90 / $1,959.74	Professional		$338.68	$856.90	$1,959.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.51 / $2,683.65 / $2,683.65	Professional		$745.51	$2,683.65	$2,683.65
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 $1,248.18 / $1,959.74 / $3,618.22	Professional		$1,248.18	$1,959.74	$3,618.22