Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.10 / $5,076.00 / $6,945.00	Facility		$1,446.10	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.10 / $1,446.10 / $1,446.10	Professional		$1,446.10	$1,446.10	$1,446.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,313.58 / $10,088.00	Professional		$1,080.00	$1,313.58	$10,088.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.85 / $1,525.71 / $3,144.02	Professional		$1,182.85	$1,525.71	$3,144.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.89 / $2,730.30 / $2,730.30	Professional		$1,231.89	$2,730.30	$2,730.30
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 $1,082.50 / $2,486.21 / $3,253.06	Professional		$1,082.50	$2,486.21	$3,253.06