Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.94 / $3,999.00 / $6,456.00	Facility		$1,060.94	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.94 / $1,060.94 / $1,060.94	Professional		$1,060.94	$1,060.94	$1,060.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $1,148.39 / $2,298.00	Professional		$596.00	$1,148.39	$2,298.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.23 / $1,854.18 / $2,826.78	Professional		$1,016.23	$1,854.18	$2,826.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.14 / $2,340.19 / $2,340.19	Professional		$1,129.14	$2,340.19	$2,340.19
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 $903.31 / $1,941.33 / $2,833.33	Professional		$903.31	$1,941.33	$2,833.33