Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $7,762.47	Facility		$1,778.28	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $4,786.30	Professional		$1,548.82	$1,778.28	$4,786.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $6,918.31 / $15,135.61	Professional		$1,778.28	$6,918.31	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $4,677.35	Professional		$1,698.24	$2,570.40	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $3,890.45	Professional		$1,621.81	$3,548.13	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $4,677.35	Professional		$1,412.54	$2,290.87	$4,677.35