Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.35 / $842.35 / $842.35	Professional		$842.35	$842.35	$842.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.47 / $870.47 / $4,930.00	Professional		$870.47	$870.47	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.62 / $1,160.53 / $2,130.07	Professional		$770.62	$1,160.53	$2,130.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.61 / $1,880.31 / $1,880.31	Professional		$906.61	$1,880.31	$1,880.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $13,107.00 / $35,972.23	Facility		$3,261.00	$13,107.00	$35,972.23
United Facility/Professional Professional Modifier Low / Median / High Price $724.43 / $1,646.93 / $2,225.58	Professional		$724.43	$1,646.93	$2,225.58