Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,673.00 / $7,007.00	Facility		$1,614.00	$4,673.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,046.83 / $2,046.83 / $2,046.83	Professional		$2,046.83	$2,046.83	$2,046.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.59 / $1,900.36 / $6,846.00	Professional		$1,862.59	$1,900.36	$6,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.76 / $2,188.25 / $4,445.37	Professional		$1,689.76	$2,188.25	$4,445.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.08 / $3,872.54 / $3,872.54	Professional		$1,755.08	$3,872.54	$3,872.54
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 $1,583.14 / $3,414.36 / $4,613.99	Professional		$1,583.14	$3,414.36	$4,613.99