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 $573.77 / $573.77 / $573.77	Professional		$573.77	$573.77	$573.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $604.41 / $2,642.00	Professional		$554.50	$604.41	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.67 / $717.06 / $1,696.80	Professional		$521.67	$717.06	$1,696.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.25 / $1,130.24 / $1,130.24	Professional		$516.25	$1,130.24	$1,130.24
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 $467.18 / $623.51 / $1,468.75	Professional		$467.18	$623.51	$1,468.75