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 $592.70 / $592.70 / $592.70	Professional		$592.70	$592.70	$592.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $519.79 / $519.79 / $625.00	Professional		$519.79	$519.79	$625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $788.06 / $1,495.13	Professional		$514.08	$788.06	$1,495.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.13 / $1,300.52 / $1,300.52	Professional		$635.13	$1,300.52	$1,300.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $8,777.00 / $26,408.00	Facility		$2,648.00	$8,777.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $633.01 / $1,410.80	Professional		$221.02	$633.01	$1,410.80