Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $8,128.31	Facility		$2,137.96	$6,918.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $5,495.41	Professional		$1,621.81	$2,454.71	$5,495.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $15,488.17 / $31,622.78	Professional		$2,398.83	$15,488.17	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $6,456.54	Professional		$2,344.23	$2,454.71	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $5,370.32	Professional		$2,398.83	$3,890.45	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $87,096.36	Facility		$9,120.11	$25,703.96	$87,096.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $6,456.54	Professional		$1,698.24	$2,691.53	$6,456.54