Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.27 / $893.27 / $893.27	Professional		$893.27	$893.27	$893.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $858.35 / $935.60 / $6,500.00	Professional		$858.35	$935.60	$6,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.76 / $1,051.51 / $2,626.58	Professional		$806.76	$1,051.51	$2,626.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.21 / $1,754.77 / $1,754.77	Professional		$807.21	$1,754.77	$1,754.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,099.00 / $10,819.00 / $28,056.00	Facility		$4,099.00	$10,819.00	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.01 / $1,644.73 / $2,280.32	Professional		$718.01	$1,644.73	$2,280.32