Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.82 / $756.82 / $1,831.50	Professional		$756.82	$756.82	$1,831.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $796.48 / $796.48 / $4,131.00	Professional		$796.48	$796.48	$4,131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.91 / $1,072.95 / $1,926.27	Professional		$704.91	$1,072.95	$1,926.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.31 / $1,713.79 / $1,713.79	Professional		$829.31	$1,713.79	$1,713.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $964.68 / $2,028.48	Professional		$577.50	$964.68	$2,028.48