Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $7,079.46	Facility		$1,412.54	$5,370.32	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $3,090.30	Professional		$1,023.29	$1,122.02	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $10,715.19 / $31,622.78	Professional		$1,148.15	$10,715.19	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,090.30	Professional		$1,096.48	$1,548.82	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $2,511.89	Professional		$1,071.52	$2,290.87	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $63,095.73	Facility		$4,897.79	$13,489.63	$63,095.73
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,090.30	Professional		$912.01	$1,445.44	$3,090.30