Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,071.63 / $7,727.00	Facility		$1,017.00	$2,071.63	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,071.63 / $2,071.63 / $2,071.63	Professional		$2,071.63	$2,071.63	$2,071.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $2,062.82 / $2,248.46	Professional		$1,820.66	$2,062.82	$2,248.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.68 / $2,247.01 / $4,268.39	Professional		$1,540.68	$2,247.01	$4,268.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,700.86 / $3,700.86 / $3,700.86	Professional		$3,700.86	$3,700.86	$3,700.86
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 $1,465.18 / $2,236.28 / $4,989.66	Professional		$1,465.18	$2,236.28	$4,989.66