Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.13 / $6,915.00 / $8,043.00	Facility		$1,568.13	$6,915.00	$8,043.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,568.13 / $1,568.13 / $1,568.13	Professional		$1,568.13	$1,568.13	$1,568.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.95 / $1,470.36 / $6,846.00	Professional		$1,348.95	$1,470.36	$6,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.36 / $1,646.57 / $3,175.04	Professional		$1,082.36	$1,646.57	$3,175.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,787.87 / $2,787.87 / $2,787.87	Professional		$2,787.87	$2,787.87	$2,787.87
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 $1,069.89 / $1,833.27 / $3,758.73	Professional		$1,069.89	$1,833.27	$3,758.73