Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,004.00 / $4,601.00	Facility		$1,614.00	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,742.01 / $1,742.01 / $1,742.01	Professional		$1,742.01	$1,742.01	$1,742.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $1,783.06 / $1,972.00	Professional		$596.00	$1,783.06	$1,972.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.84 / $2,380.77 / $4,686.89	Professional		$1,639.84	$2,380.77	$4,686.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,822.04 / $3,812.13 / $3,812.13	Professional		$1,822.04	$3,812.13	$3,812.13
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 $1,213.84 / $2,176.44 / $4,615.45	Professional		$1,213.84	$2,176.44	$4,615.45