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 $594.65 / $594.65 / $594.65	Professional		$594.65	$594.65	$594.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $663.18 / $1,575.00	Professional		$596.00	$663.18	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.84 / $1,025.69 / $1,514.25	Professional		$540.84	$1,025.69	$1,514.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $1,321.32 / $1,321.32	Professional		$636.29	$1,321.32	$1,321.32
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 $492.88 / $808.93 / $1,563.94	Professional		$492.88	$808.93	$1,563.94