Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $6,456.54	Facility		$1,698.24	$4,073.80	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $2,089.30	Professional		$691.83	$776.25	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $10,715.19	Professional		$758.58	$1,122.02	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,137.96	Professional		$758.58	$1,071.52	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $1,778.28	Professional		$758.58	$1,548.82	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,137.96	Professional		$616.60	$1,000.00	$2,137.96