Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,567.00 / $15,893.00	Facility		$1,614.00	$9,567.00	$15,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.62 / $1,600.62 / $1,600.62	Professional		$1,600.62	$1,600.62	$1,600.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $253.79 / $276.63	Professional		$253.79	$253.79	$276.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,765.00 / $18,765.00 / $18,765.00	Facility		$18,765.00	$18,765.00	$18,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,569.08 / $3,569.08 / $3,569.08	Professional		$3,569.08	$3,569.08	$3,569.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.01 / $1,748.81 / $3,663.47	Professional		$1,260.01	$1,748.81	$3,663.47