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 $2,693.06 / $2,693.06 / $2,693.06	Professional		$2,693.06	$2,693.06	$2,693.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,921.10 / $2,599.64 / $3,062.54	Professional		$1,921.10	$2,599.64	$3,062.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.80 / $2,657.39 / $5,515.30	Professional		$1,877.80	$2,657.39	$5,515.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,803.89 / $4,803.89 / $4,803.89	Professional		$4,803.89	$4,803.89	$4,803.89
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 $2,042.24 / $4,792.85 / $6,476.84	Professional		$2,042.24	$4,792.85	$6,476.84