Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $4,100.00	Facility		$1,017.00	$3,162.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $120.50 / $120.50	Professional		$104.26	$120.50	$120.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $117.52 / $1,030.00	Professional		$109.97	$117.52	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $138.91 / $274.85	Professional		$104.07	$138.91	$274.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $218.84 / $235.31	Professional		$106.50	$218.84	$235.31
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $111.26 / $286.04	Professional		$90.15	$111.26	$286.04