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 $111.10 / $111.10 / $111.10	Professional		$111.10	$111.10	$111.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $136.00 / $1,643.00	Professional		$131.49	$136.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $149.51 / $281.37	Professional		$102.22	$149.51	$281.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $249.15 / $249.15	Professional		$120.26	$249.15	$249.15
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 $102.40 / $239.54 / $294.89	Professional		$102.40	$239.54	$294.89