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 $214.01 / $214.01 / $214.01	Professional		$214.01	$214.01	$214.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.43 / $300.22 / $4,930.00	Professional		$275.43	$300.22	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $338.92 / $663.11	Professional		$234.68	$338.92	$663.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $581.54 / $581.54	Professional		$262.29	$581.54	$581.54
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 $236.66 / $538.58 / $674.95	Professional		$236.66	$538.58	$674.95