Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $7,762.47	Facility		$1,584.89	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $4,073.80	Professional		$1,230.27	$1,548.82	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $4,897.79	Professional		$1,380.38	$1,737.80	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $4,168.69	Professional		$1,513.56	$2,238.72	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $3,467.37	Professional		$1,412.54	$3,090.30	$3,467.37
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 $1,202.26 / $2,041.74 / $4,168.69	Professional		$1,202.26	$2,041.74	$4,168.69