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 $586.64 / $586.64 / $586.64	Professional		$586.64	$586.64	$586.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $605.20 / $668.09 / $6,458.00	Professional		$605.20	$668.09	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.41 / $827.99 / $1,866.94	Professional		$570.41	$827.99	$1,866.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.48 / $1,233.28 / $1,233.28	Professional		$564.48	$1,233.28	$1,233.28
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 $521.10 / $814.23 / $1,428.95	Professional		$521.10	$814.23	$1,428.95