Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.62 / $4,100.00 / $7,007.00	Facility		$1,343.62	$4,100.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.62 / $1,343.62 / $1,343.62	Professional		$1,343.62	$1,343.62	$1,343.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,488.72 / $1,530.65 / $13,025.00	Professional		$1,488.72	$1,530.65	$13,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.69 / $1,936.42 / $3,580.61	Professional		$1,285.69	$1,936.42	$3,580.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.54 / $2,963.19 / $2,963.19	Professional		$1,428.54	$2,963.19	$2,963.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.83 / $2,654.84 / $3,587.62	Professional		$1,142.83	$2,654.84	$3,587.62