Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $122.74 / $122.74	Professional		$122.74	$122.74	$122.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $127.29 / $1,410.00	Professional		$117.92	$127.29	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $180.35 / $389.52	Professional		$118.44	$180.35	$389.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $255.63 / $255.63	Professional		$117.20	$255.63	$255.63
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $169.26 / $296.19	Professional		$108.33	$169.26	$296.19