Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.51 / $4,100.00 / $7,007.00	Facility		$1,136.51	$4,100.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.51 / $1,136.51 / $2,750.35	Professional		$1,136.51	$1,136.51	$2,750.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,186.22 / $1,230.63 / $12,611.00	Professional		$1,186.22	$1,230.63	$12,611.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.65 / $1,736.10 / $3,031.85	Professional		$1,087.65	$1,736.10	$3,031.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.50 / $2,507.76 / $2,507.76	Professional		$1,208.50	$2,507.76	$2,507.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.02 / $2,176.27 / $3,036.22	Professional		$853.02	$2,176.27	$3,036.22