Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $254.52 / $254.52	Professional		$254.52	$254.52	$254.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $273.47 / $353.76 / $1,410.00	Professional		$273.47	$353.76	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.49 / $447.06 / $1,013.27	Professional		$306.49	$447.06	$1,013.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.56 / $756.94 / $756.94	Professional		$364.56	$756.94	$756.94
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 $275.61 / $519.51 / $895.93	Professional		$275.61	$519.51	$895.93