Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,999.00 / $6,456.00	Facility		$1,614.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.49 / $1,728.49 / $1,728.49	Professional		$1,728.49	$1,728.49	$1,728.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,844.25 / $1,870.24 / $14,265.00	Professional		$1,844.25	$1,870.24	$14,265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.31 / $2,992.31 / $4,610.60	Professional		$1,653.31	$2,992.31	$4,610.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,837.01 / $3,811.17 / $3,811.17	Professional		$1,837.01	$3,811.17	$3,811.17
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 $1,469.61 / $3,691.79 / $4,614.30	Professional		$1,469.61	$3,691.79	$4,614.30