Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.56 / $5,076.00 / $6,945.00	Facility		$1,597.56	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.56 / $1,597.56 / $4,047.15	Professional		$1,597.56	$1,597.56	$4,047.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,793.16 / $1,808.55 / $6,846.00	Professional		$1,793.16	$1,808.55	$6,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.22 / $2,093.56 / $4,248.97	Professional		$1,519.22	$2,093.56	$4,248.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,688.02 / $3,501.18 / $3,501.18	Professional		$1,688.02	$3,501.18	$3,501.18
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 $1,332.46 / $2,963.19 / $4,238.99	Professional		$1,332.46	$2,963.19	$4,238.99