Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.16 / $4,100.00 / $6,945.00	Facility		$1,157.16	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.16 / $1,157.16 / $2,800.32	Professional		$1,157.16	$1,157.16	$2,800.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,199.34 / $1,254.83 / $16,714.00	Professional		$1,199.34	$1,254.83	$16,714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.26 / $1,992.40 / $3,080.35	Professional		$1,110.26	$1,992.40	$3,080.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.61 / $2,557.08 / $2,557.08	Professional		$1,233.61	$2,557.08	$2,557.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.78 / $1,430.92 / $3,095.93	Professional		$947.78	$1,430.92	$3,095.93