Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.64 / $4,100.00 / $6,945.00	Facility		$1,360.64	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.64 / $1,360.64 / $1,360.64	Professional		$1,360.64	$1,360.64	$1,360.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,370.59 / $1,470.11 / $7,812.00	Professional		$1,370.59	$1,470.11	$7,812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.58 / $2,340.25 / $3,636.50	Professional		$1,296.58	$2,340.25	$3,636.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,440.64 / $2,995.77 / $2,995.77	Professional		$1,440.64	$2,995.77	$2,995.77
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 $960.19 / $1,701.70 / $3,679.37	Professional		$960.19	$1,701.70	$3,679.37