Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.65 / $4,100.00 / $7,007.00	Facility		$1,574.65	$4,100.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.65 / $1,574.65 / $1,574.65	Professional		$1,574.65	$1,574.65	$1,574.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,410.00 / $1,784.84 / $3,562.00	Professional		$1,410.00	$1,784.84	$3,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.45 / $2,311.04 / $4,203.39	Professional		$1,498.45	$2,311.04	$4,203.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,664.94 / $3,455.29 / $3,455.29	Professional		$1,664.94	$3,455.29	$3,455.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.55 / $2,930.00 / $4,183.42	Professional		$1,209.55	$2,930.00	$4,183.42