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 $247.83 / $247.83 / $247.83	Professional		$247.83	$247.83	$247.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $285.41 / $1,021.00	Professional		$270.64	$285.41	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.87 / $402.48 / $631.61	Professional		$224.87	$402.48	$631.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.55 / $550.15 / $550.15	Professional		$264.55	$550.15	$550.15
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.64 / $328.79 / $651.16	Professional		$211.64	$328.79	$651.16