Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.39 / $3,999.00 / $6,456.00	Facility		$1,167.39	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.39 / $1,167.39 / $1,167.39	Professional		$1,167.39	$1,167.39	$1,167.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,225.67 / $1,228.08 / $4,930.00	Professional		$1,225.67	$1,228.08	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.66 / $1,626.89 / $3,131.61	Professional		$1,117.66	$1,626.89	$3,131.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $2,578.13 / $2,578.13	Professional		$1,241.83	$2,578.13	$2,578.13
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $993.47 / $2,495.87 / $3,219.70	Professional		$993.47	$2,495.87	$3,219.70