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 $117.66 / $117.66 / $117.66	Professional		$117.66	$117.66	$117.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $136.25 / $1,643.00	Professional		$125.00	$136.25	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $151.63 / $295.32	Professional		$105.81	$151.63	$295.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $262.75 / $262.75	Professional		$126.40	$262.75	$262.75
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $193.14 / $310.99	Professional		$107.66	$193.14	$310.99