Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.69 / $3,999.00 / $6,456.00	Facility		$1,392.69	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.69 / $1,392.69 / $1,392.69	Professional		$1,392.69	$1,392.69	$1,392.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,470.72 / $1,508.49 / $9,276.00	Professional		$1,470.72	$1,508.49	$9,276.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.06 / $1,686.69 / $3,714.79	Professional		$1,104.06	$1,686.69	$3,714.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.27 / $3,073.99 / $3,073.99	Professional		$1,482.27	$3,073.99	$3,073.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $13,107.00 / $40,126.94	Facility		$3,261.00	$13,107.00	$40,126.94
United Facility/Professional Professional Modifier Low / Median / High Price $971.61 / $1,783.40 / $3,721.77	Professional		$971.61	$1,783.40	$3,721.77