Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.33 / $4,100.00 / $6,456.00	Facility		$1,054.33	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.33 / $1,054.33 / $2,551.50	Professional		$1,054.33	$1,054.33	$2,551.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,111.97 / $1,151.34 / $4,290.00	Professional		$1,111.97	$1,151.34	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.89 / $1,829.67 / $2,808.94	Professional		$1,021.89	$1,829.67	$2,808.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,135.43 / $2,346.21 / $2,346.21	Professional		$1,135.43	$2,346.21	$2,346.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $6,073.00 / $26,408.00	Facility		$1,832.00	$6,073.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.80 / $1,367.22 / $2,840.64	Professional		$804.80	$1,367.22	$2,840.64