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 $509.74 / $509.74 / $509.74	Professional		$509.74	$509.74	$509.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $575.35 / $676.00	Professional		$412.00	$575.35	$676.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $689.77 / $1,332.58	Professional		$502.18	$689.77	$1,332.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.84 / $1,172.44 / $1,172.44	Professional		$532.84	$1,172.44	$1,172.44
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 $477.59 / $689.77 / $1,327.38	Professional		$477.59	$689.77	$1,327.38