Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.04 / $4,004.00 / $4,601.00	Facility		$1,190.04	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.04 / $1,190.04 / $3,014.77	Professional		$1,190.04	$1,190.04	$3,014.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,321.32 / $1,382.70 / $6,458.00	Professional		$1,321.32	$1,382.70	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.97 / $1,496.25 / $3,390.09	Professional		$1,219.97	$1,496.25	$3,390.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.53 / $2,817.67 / $2,817.67	Professional		$1,355.53	$2,817.67	$2,817.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.62 / $2,313.67 / $3,411.43	Professional		$911.62	$2,313.67	$3,411.43