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 $2,759.76 / $2,759.76 / $6,991.39	Professional		$2,759.76	$2,759.76	$6,991.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $2,539.26 / $3,098.37	Professional		$596.00	$2,539.26	$3,098.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,644.51 / $4,113.77 / $7,354.96	Professional		$2,644.51	$4,113.77	$7,354.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,938.35 / $6,091.55 / $6,091.55	Professional		$2,938.35	$6,091.55	$6,091.55
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 $2,053.57 / $4,113.77 / $7,586.35	Professional		$2,053.57	$4,113.77	$7,586.35