Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.04 / $3,999.00 / $6,456.00	Facility		$1,123.04	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.04 / $1,123.04 / $2,845.02	Professional		$1,123.04	$1,123.04	$2,845.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,081.74 / $1,211.06 / $12,611.00	Professional		$1,081.74	$1,211.06	$12,611.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.67 / $1,614.12 / $3,005.52	Professional		$1,066.67	$1,614.12	$3,005.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $2,467.90 / $2,467.90	Professional		$1,185.19	$2,467.90	$2,467.90
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 $813.94 / $2,192.60 / $2,987.96	Professional		$813.94	$2,192.60	$2,987.96