Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.69 / $3,999.00 / $6,456.00	Facility		$1,075.69	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.69 / $1,075.69 / $2,603.16	Professional		$1,075.69	$1,075.69	$2,603.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,049.80 / $1,152.83 / $4,930.00	Professional		$1,049.80	$1,152.83	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.91 / $1,695.90 / $2,901.58	Professional		$1,005.91	$1,695.90	$2,901.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.68 / $2,349.25 / $2,349.25	Professional		$1,117.68	$2,349.25	$2,349.25
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 $748.98 / $1,299.08 / $2,844.31	Professional		$748.98	$1,299.08	$2,844.31