Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $7,079.46	Facility		$2,137.96	$5,370.32	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $4,897.79	Professional		$1,819.70	$2,238.72	$4,897.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $10,964.78	Professional		$2,089.30	$5,495.41	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $6,025.60	Professional		$2,137.96	$2,511.89	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,365.16 / $4,897.79	Professional		$2,187.76	$4,365.16	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,888.44	Professional		$1,513.56	$2,570.40	$5,888.44