Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,495.41 / $7,762.47	Facility		$1,047.13	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,884.03	Professional		$912.01	$1,047.13	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $8,128.31 / $16,218.10	Professional		$1,047.13	$8,128.31	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,570.40	Professional		$1,023.29	$1,412.54	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,187.76 / $2,290.87	Professional		$954.99	$2,187.76	$2,290.87
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 $831.76 / $1,348.96 / $2,754.23	Professional		$831.76	$1,348.96	$2,754.23