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 $363.06 / $363.06 / $363.06	Professional		$363.06	$363.06	$363.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.70 / $493.44 / $4,500.00	Professional		$452.70	$493.44	$4,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $563.97 / $1,121.15	Professional		$398.24	$563.97	$1,121.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.09 / $986.47 / $986.47	Professional		$445.09	$986.47	$986.47
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 $396.66 / $619.78 / $1,144.94	Professional		$396.66	$619.78	$1,144.94