Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.37 / $1,012.37 / $1,012.37	Professional		$1,012.37	$1,012.37	$1,012.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,052.95 / $1,095.96 / $5,478.00	Professional		$1,052.95	$1,095.96	$5,478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.89 / $1,876.57 / $2,700.48	Professional		$968.89	$1,876.57	$2,700.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.54 / $2,233.35 / $2,233.35	Professional		$1,076.54	$2,233.35	$2,233.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $2,000.95 / $2,703.98	Professional		$906.95	$2,000.95	$2,703.98