Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.22 / $3,999.00 / $6,456.00	Facility		$1,519.22	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.22 / $1,519.22 / $1,519.22	Professional		$1,519.22	$1,519.22	$1,519.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,607.29 / $1,643.83 / $7,706.00	Professional		$1,607.29	$1,643.83	$7,706.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.12 / $1,841.83 / $4,057.54	Professional		$1,388.12	$1,841.83	$4,057.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.90 / $3,349.79 / $3,349.79	Professional		$1,614.90	$3,349.79	$3,349.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.23 / $3,001.21 / $4,055.69	Professional		$1,099.23	$3,001.21	$4,055.69