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 $623.69 / $623.69 / $623.69	Professional		$623.69	$623.69	$623.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $597.00 / $597.00 / $663.00	Professional		$597.00	$597.00	$663.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $829.35 / $1,574.47	Professional		$541.09	$829.35	$1,574.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.32 / $1,369.51 / $1,369.51	Professional		$668.32	$1,369.51	$1,369.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.05 / $1,079.74 / $1,695.42	Professional		$233.05	$1,079.74	$1,695.42