Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,100.00 / $6,945.00	Facility		$1,614.00	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,525.71 / $2,525.71 / $2,525.71	Professional		$2,525.71	$2,525.71	$2,525.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $2,703.75 / $3,750.00	Professional		$596.00	$2,703.75	$3,750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,386.17 / $4,229.83 / $6,736.83	Professional		$2,386.17	$4,229.83	$6,736.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,645.91 / $5,509.69 / $5,509.69	Professional		$2,645.91	$5,509.69	$5,509.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,101.67 / $4,908.26 / $6,670.75	Professional		$2,101.67	$4,908.26	$6,670.75