Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,047.00 / $4,601.00	Facility		$1,017.00	$4,047.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $735.58 / $735.58	Professional		$613.24	$735.58	$735.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $667.39 / $1,686.00	Professional		$650.00	$667.39	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.29 / $784.45 / $1,589.29	Professional		$601.29	$784.45	$1,589.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.27 / $683.44 / $1,428.01	Professional		$649.27	$683.44	$1,428.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.05 / $755.47 / $1,735.93	Professional		$507.05	$755.47	$1,735.93