Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $7,762.47	Facility		$1,698.24	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $6,309.57	Professional		$1,380.38	$2,570.40	$6,309.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $3,235.94	Professional		$2,511.89	$2,630.27	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $5,248.07	Professional		$1,905.46	$2,754.23	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,570.88	Professional		$4,265.80	$4,265.80	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $16,218.10	Facility		$645.65	$2,344.23	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $5,888.44	Professional		$1,949.84	$2,818.38	$5,888.44