Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.59 / $4,100.00 / $6,945.00	Facility		$1,175.59	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.59 / $1,175.59 / $1,175.59	Professional		$1,175.59	$1,175.59	$1,175.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $1,272.70 / $2,500.00	Professional		$596.00	$1,272.70	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.89 / $2,108.07 / $3,137.02	Professional		$1,124.89	$2,108.07	$3,137.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.86 / $2,593.50 / $2,593.50	Professional		$1,249.86	$2,593.50	$2,593.50
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 $934.10 / $1,496.34 / $3,140.03	Professional		$934.10	$1,496.34	$3,140.03