Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $166.13 / $166.13	Professional		$166.13	$166.13	$166.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $188.66 / $5,795.00	Professional		$141.85	$188.66	$5,795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $178.70 / $339.52	Professional		$136.02	$178.70	$339.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $295.23 / $295.23	Professional		$295.23	$295.23	$295.23
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 $121.97 / $194.17 / $398.04	Professional		$121.97	$194.17	$398.04