Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.73 / $4,833.00 / $9,719.00	Facility		$1,400.73	$4,833.00	$9,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.08 / $1,400.73 / $1,400.73	Professional		$1,132.08	$1,400.73	$1,400.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,270.09 / $1,289.99 / $6,500.00	Professional		$1,270.09	$1,289.99	$6,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.93 / $1,209.94 / $3,087.55	Professional		$1,002.93	$1,209.94	$3,087.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,247.49 / $2,717.62 / $2,717.62	Professional		$1,247.49	$2,717.62	$2,717.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.81 / $1,156.98 / $3,303.60	Professional		$979.81	$1,156.98	$3,303.60