Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.69 / $5,076.00 / $6,945.00	Facility		$1,414.69	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.69 / $1,414.69 / $1,414.69	Professional		$1,414.69	$1,414.69	$1,414.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,601.97 / $1,666.99 / $6,846.00	Professional		$1,601.97	$1,666.99	$6,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.42 / $1,942.11 / $3,760.45	Professional		$1,345.42	$1,942.11	$3,760.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,494.91 / $3,101.27 / $3,101.27	Professional		$1,494.91	$3,101.27	$3,101.27
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 $1,084.08 / $1,825.75 / $3,754.80	Professional		$1,084.08	$1,825.75	$3,754.80