Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $1,614.00 / $3,175.00	Facility		$1,117.00	$1,614.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.61 / $249.61 / $1,923.67	Professional		$249.61	$249.61	$1,923.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $219.60 / $225.76	Professional		$207.12	$219.60	$225.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $511.96 / $4,108.96	Professional		$204.52	$511.96	$4,108.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.38 / $3,309.62 / $3,309.62	Professional		$446.38	$3,309.62	$3,309.62
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,082.01 / $4,462.18 / $6,219.58	Professional		$2,082.01	$4,462.18	$6,219.58