Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,927.26 / $7,727.00	Facility		$1,017.00	$1,927.26	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,927.26 / $1,927.26 / $1,927.26	Professional		$1,927.26	$1,927.26	$1,927.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,647.67 / $1,772.38 / $1,795.96	Professional		$1,647.67	$1,772.38	$1,795.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.73 / $2,051.31 / $3,964.59	Professional		$1,301.73	$2,051.31	$3,964.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,431.16 / $3,431.16 / $3,431.16	Professional		$3,431.16	$3,431.16	$3,431.16
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 $1,466.66 / $2,291.65 / $4,626.04	Professional		$1,466.66	$2,291.65	$4,626.04