Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,614.00 / $7,727.00	Facility		$1,017.00	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.43 / $1,177.43 / $1,177.43	Professional		$1,177.43	$1,177.43	$1,177.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,032.01 / $1,233.58 / $4,930.00	Professional		$1,032.01	$1,233.58	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.45 / $1,274.06 / $2,424.35	Professional		$887.45	$1,274.06	$2,424.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,103.03 / $2,103.03 / $2,103.03	Professional		$2,103.03	$2,103.03	$2,103.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.54 / $1,284.29 / $2,835.40	Professional		$900.54	$1,284.29	$2,835.40