Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.63 / $4,100.00 / $6,945.00	Facility		$1,088.63	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.63 / $1,088.63 / $1,088.63	Professional		$1,088.63	$1,088.63	$1,088.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,245.58 / $6,458.00	Professional		$1,160.00	$1,245.58	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.03 / $1,407.91 / $2,922.13	Professional		$1,007.03	$1,407.91	$2,922.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.93 / $2,371.23 / $2,371.23	Professional		$1,118.93	$2,371.23	$2,371.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.14 / $1,252.41 / $2,870.91	Professional		$730.14	$1,252.41	$2,870.91