Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.18 / $5,076.00 / $6,945.00	Facility		$1,507.18	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,507.18 / $1,507.18 / $1,507.18	Professional		$1,507.18	$1,507.18	$1,507.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,390.47 / $1,559.57 / $10,000.00	Professional		$1,390.47	$1,559.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.09 / $1,632.85 / $3,104.34	Professional		$1,114.09	$1,632.85	$3,104.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.82 / $2,691.82 / $2,691.82	Professional		$2,691.82	$2,691.82	$2,691.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.95 / $1,807.74 / $3,629.24	Professional		$1,156.95	$1,807.74	$3,629.24