Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.53 / $2,986.00 / $6,456.00	Facility		$1,286.53	$2,986.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.76 / $1,286.53 / $1,286.53	Professional		$1,111.76	$1,286.53	$1,286.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,393.46 / $1,393.46 / $4,930.00	Professional		$1,393.46	$1,393.46	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.69 / $1,232.43 / $3,296.30	Professional		$1,117.69	$1,232.43	$3,296.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.03 / $2,847.89 / $2,847.89	Professional		$1,323.03	$2,847.89	$2,847.89
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 $943.36 / $1,284.11 / $3,345.56	Professional		$943.36	$1,284.11	$3,345.56