Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $7,762.47	Facility		$1,174.90	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,511.89	Professional		$776.25	$1,047.13	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,548.13 / $9,549.93	Professional		$891.25	$3,548.13	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,570.40	Professional		$812.83	$1,071.52	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $2,290.87	Professional		$954.99	$1,071.52	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,041.74	Professional		$741.31	$954.99	$2,041.74