Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $174.85 / $174.85	Professional		$174.85	$174.85	$174.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $221.92 / $1,643.00	Professional		$197.56	$221.92	$1,643.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,822.00 / $3,822.00 / $4,586.00	Facility		$3,822.00	$3,822.00	$4,586.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $237.36 / $456.72	Professional		$172.89	$237.36	$456.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $402.60 / $402.60	Professional		$182.50	$402.60	$402.60
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.74 / $284.66 / $455.80	Professional		$162.74	$284.66	$455.80