Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,781.19 / $7,727.00	Facility		$1,017.00	$1,781.19	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.19 / $1,781.19 / $1,781.19	Professional		$1,781.19	$1,781.19	$1,781.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,635.97 / $1,638.98 / $2,175.84	Professional		$1,635.97	$1,638.98	$2,175.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.76 / $1,892.28 / $3,664.63	Professional		$1,259.76	$1,892.28	$3,664.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,172.90 / $3,172.90 / $3,172.90	Professional		$3,172.90	$3,172.90	$3,172.90
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 $1,351.73 / $2,022.80 / $4,277.85	Professional		$1,351.73	$2,022.80	$4,277.85