Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.20 / $4,100.00 / $6,945.00	Facility		$1,597.20	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.20 / $1,597.20 / $1,597.20	Professional		$1,597.20	$1,597.20	$1,597.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,819.80 / $3,307.00	Professional		$1,760.00	$1,819.80	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.29 / $2,286.16 / $4,261.67	Professional		$1,529.29	$2,286.16	$4,261.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,699.21 / $3,522.95 / $3,522.95	Professional		$1,699.21	$3,522.95	$3,522.95
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 $1,210.94 / $2,236.59 / $4,265.34	Professional		$1,210.94	$2,236.59	$4,265.34