Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,076.00 / $6,945.00	Facility		$1,614.00	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.72 / $1,666.72 / $1,666.72	Professional		$1,666.72	$1,666.72	$1,666.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,224.09 / $1,334.27 / $7,500.00	Professional		$1,224.09	$1,334.27	$7,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.42 / $1,466.88 / $3,369.33	Professional		$957.42	$1,466.88	$3,369.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,978.62 / $2,978.62 / $2,978.62	Professional		$2,978.62	$2,978.62	$2,978.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $10,811.40 / $41,544.00	Facility		$4,062.00	$10,811.40	$41,544.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.00 / $1,914.03 / $4,015.91	Professional		$966.00	$1,914.03	$4,015.91