Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $7,727.00	Facility		$1,017.00	$2,080.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,156.55 / $2,156.55 / $2,156.55	Professional		$2,156.55	$2,156.55	$2,156.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,078.92 / $2,280.52 / $3,000.00	Professional		$2,078.92	$2,280.52	$3,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.60 / $2,293.96 / $4,434.85	Professional		$1,543.60	$2,293.96	$4,434.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,841.66 / $3,841.66 / $3,841.66	Professional		$3,841.66	$3,841.66	$3,841.66
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.01 / $2,562.66 / $5,179.50	Professional		$1,600.01	$2,562.66	$5,179.50