Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $7,762.47	Facility		$1,513.56	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,511.89	Professional		$1,318.26	$1,513.56	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $9,549.93	Professional		$1,513.56	$3,548.13	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $4,073.80	Professional		$1,348.96	$1,659.59	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $3,388.44	Professional		$1,380.38	$3,019.95	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $35,481.34	Facility		$3,311.31	$16,218.10	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,862.09 / $4,073.80	Professional		$851.14	$1,862.09	$4,073.80