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 $552.96 / $589.01 / $589.01	Professional		$552.96	$589.01	$589.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $495.53 / $659.05 / $4,931.00	Professional		$495.53	$659.05	$4,931.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.40 / $569.54 / $1,223.52	Professional		$425.40	$569.54	$1,223.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.99 / $556.92 / $1,060.76	Professional		$480.99	$556.92	$1,060.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.47 / $435.02 / $1,305.07	Professional		$347.47	$435.02	$1,305.07