Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.09 / $5,076.00 / $6,945.00	Facility		$1,528.09	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.09 / $1,528.09 / $1,528.09	Professional		$1,528.09	$1,528.09	$1,528.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.08 / $1,510.00 / $12,611.00	Professional		$1,348.08	$1,510.00	$12,611.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.53 / $1,737.11 / $3,408.45	Professional		$1,288.53	$1,737.11	$3,408.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.56 / $2,884.46 / $2,884.46	Professional		$1,301.56	$2,884.46	$2,884.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.16 / $2,141.92 / $3,539.78	Professional		$1,083.16	$2,141.92	$3,539.78