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 $477.05 / $477.05 / $477.05	Professional		$477.05	$477.05	$477.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $572.14 / $635.41 / $7,812.00	Professional		$572.14	$635.41	$7,812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $741.10 / $1,472.14	Professional		$523.54	$741.10	$1,472.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.14 / $1,294.83 / $1,294.83	Professional		$585.14	$1,294.83	$1,294.83
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 $490.40 / $672.91 / $1,502.84	Professional		$490.40	$672.91	$1,502.84