Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,076.00 / $6,945.00	Facility		$1,017.00	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.67 / $496.67 / $1,110.20	Professional		$496.67	$496.67	$1,110.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $479.63 / $523.44 / $4,931.00	Professional		$479.63	$523.44	$4,931.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.52 / $571.28 / $1,469.47	Professional		$451.52	$571.28	$1,469.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.81 / $977.38 / $977.38	Professional		$446.81	$977.38	$977.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $629.85 / $1,270.10	Professional		$390.63	$629.85	$1,270.10