Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,076.00 / $6,945.00	Facility		$1,614.00	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.45 / $1,755.45 / $1,755.45	Professional		$1,755.45	$1,755.45	$1,755.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,897.25 / $1,985.95 / $6,846.00	Professional		$1,897.25	$1,985.95	$6,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.68 / $2,217.85 / $4,666.29	Professional		$1,667.68	$2,217.85	$4,666.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,852.98 / $3,844.61 / $3,844.61	Professional		$1,852.98	$3,844.61	$3,844.61
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 $1,378.58 / $2,238.51 / $4,654.78	Professional		$1,378.58	$2,238.51	$4,654.78