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 $741.13 / $741.13 / $741.13	Professional		$741.13	$741.13	$741.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $685.38 / $772.59 / $10,666.00	Professional		$685.38	$772.59	$10,666.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.63 / $997.53 / $1,689.66	Professional		$652.63	$997.53	$1,689.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.74 / $1,653.09 / $1,653.09	Professional		$793.74	$1,653.09	$1,653.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.07 / $1,116.86 / $1,956.64	Professional		$635.07	$1,116.86	$1,956.64