Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.40 / $4,100.00 / $6,945.00	Facility		$1,157.40	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.40 / $1,157.40 / $1,157.40	Professional		$1,157.40	$1,157.40	$1,157.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,272.39 / $1,319.46 / $3,307.00	Professional		$1,272.39	$1,319.46	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,723.22 / $3,088.07	Professional		$1,107.70	$1,723.22	$3,088.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.78 / $2,554.35 / $2,554.35	Professional		$1,230.78	$2,554.35	$2,554.35
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 $864.13 / $1,471.21 / $3,092.63	Professional		$864.13	$1,471.21	$3,092.63