Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,071.52	Professional		$575.44	$912.01	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $3,090.30	Facility		$1,288.25	$1,348.96	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,659.59	Professional		$1,096.48	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,884.03	Facility		$2,137.96	$2,137.96	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,778.28	Professional		$660.69	$912.01	$1,778.28