Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,076.00 / $6,945.00	Facility		$1,017.00	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.44 / $790.44 / $790.44	Professional		$790.44	$790.44	$790.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $892.61 / $11,208.00	Professional		$745.00	$892.61	$11,208.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.19 / $1,058.19 / $2,069.89	Professional		$780.19	$1,058.19	$2,069.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.54 / $1,818.96 / $1,818.96	Professional		$823.54	$1,818.96	$1,818.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $32,772.12	Facility		$4,062.00	$12,159.00	$32,772.12
United Facility/Professional Professional Modifier Low / Median / High Price $747.85 / $1,168.51 / $2,059.35	Professional		$747.85	$1,168.51	$2,059.35