Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,673.00 / $7,007.00	Facility		$1,017.00	$4,673.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $705.15 / $705.15	Professional		$705.15	$705.15	$705.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $939.28 / $1,070.59 / $10,000.00	Professional		$939.28	$1,070.59	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.81 / $1,270.33 / $2,209.94	Professional		$775.81	$1,270.33	$2,209.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.08 / $1,914.05 / $1,914.05	Professional		$867.08	$1,914.05	$1,914.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $41,544.00	Facility		$4,062.00	$12,159.00	$41,544.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.16 / $1,319.61 / $2,221.53	Professional		$755.16	$1,319.61	$2,221.53