Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.23 / $3,666.85 / $4,975.00	Facility		$1,515.23	$3,666.85	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,515.23 / $2,310.90	Professional		$1,209.49	$1,515.23	$2,310.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.46 / $1,445.46 / $4,930.00	Professional		$1,445.46	$1,445.46	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.01 / $1,436.39 / $3,894.92	Professional		$1,312.01	$1,436.39	$3,894.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.40 / $3,412.09 / $3,412.09	Professional		$1,574.40	$3,412.09	$3,412.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.06 / $1,677.62 / $3,942.95	Professional		$1,160.06	$1,677.62	$3,942.95