Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.79 / $3,999.00 / $6,456.00	Facility		$1,380.79	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.79 / $1,380.79 / $1,380.79	Professional		$1,380.79	$1,380.79	$1,380.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,436.26 / $1,597.03 / $4,930.00	Professional		$1,436.26	$1,597.03	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.41 / $1,682.77 / $3,718.15	Professional		$1,367.41	$1,682.77	$3,718.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,568.91 / $3,254.41 / $3,254.41	Professional		$1,568.91	$3,254.41	$3,254.41
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.17 / $1,773.90 / $3,940.21	Professional		$977.17	$1,773.90	$3,940.21