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 $173.12 / $173.12 / $173.12	Professional		$173.12	$173.12	$173.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $214.61 / $5,795.00	Professional		$150.07	$214.61	$5,795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $158.87 / $354.04	Professional		$139.88	$158.87	$354.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.82 / $305.82 / $305.82	Professional		$305.82	$305.82	$305.82
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 $131.26 / $243.20 / $412.32	Professional		$131.26	$243.20	$412.32