Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $7,762.47	Facility		$1,698.24	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $5,248.07	Professional		$1,148.15	$2,041.74	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $2,454.71	Professional		$954.99	$1,000.00	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $4,168.69	Professional		$1,513.56	$2,238.72	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $3,630.78	Professional		$3,388.44	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $16,218.10	Facility		$645.65	$2,344.23	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,897.79	Professional		$1,621.81	$2,344.23	$4,897.79