Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.58 / $5,076.00 / $6,150.00	Facility		$1,379.58	$5,076.00	$6,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.58 / $1,379.58 / $3,338.58	Professional		$1,379.58	$1,379.58	$3,338.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,562.06 / $1,619.48 / $3,944.00	Professional		$1,562.06	$1,619.48	$3,944.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $1,955.70 / $3,665.25	Professional		$1,316.25	$1,955.70	$3,665.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,457.59 / $3,024.01 / $3,024.01	Professional		$1,457.59	$3,024.01	$3,024.01
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 $1,175.24 / $2,709.33 / $3,661.25	Professional		$1,175.24	$2,709.33	$3,661.25