Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.11 / $4,673.00 / $7,007.00	Facility		$1,148.11	$4,673.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.11 / $1,148.11 / $1,148.11	Professional		$1,148.11	$1,148.11	$1,148.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,268.73 / $1,310.57 / $16,403.00	Professional		$1,268.73	$1,310.57	$16,403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.99 / $1,568.76 / $3,061.26	Professional		$1,100.99	$1,568.76	$3,061.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.32 / $2,537.13 / $2,537.13	Professional		$1,223.32	$2,537.13	$2,537.13
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 $906.39 / $1,458.87 / $3,071.78	Professional		$906.39	$1,458.87	$3,071.78