Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.88 / $1,290.88 / $1,614.85	Facility		$1,290.88	$1,290.88	$1,614.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.88 / $1,572.56 / $1,614.85	Professional		$1,290.88	$1,572.56	$1,614.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,402.01 / $1,587.96 / $12,839.00	Professional		$1,402.01	$1,587.96	$12,839.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,414.77 / $2,774.09 / $4,278.72	Professional		$1,414.77	$2,774.09	$4,278.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,849.87 / $3,570.11 / $3,570.11	Professional		$2,849.87	$3,570.11	$3,570.11
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 $1,376.19 / $2,158.16 / $4,322.43	Professional		$1,376.19	$2,158.16	$4,322.43