Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.44 / $3,999.00 / $6,456.00	Facility		$1,268.44	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.39 / $1,268.44 / $1,268.44	Professional		$914.39	$1,268.44	$1,268.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.83 / $1,168.50 / $4,930.00	Professional		$1,148.83	$1,168.50	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.22 / $1,096.75 / $2,796.79	Professional		$977.22	$1,096.75	$2,796.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,130.79 / $2,458.16 / $2,458.16	Professional		$1,130.79	$2,458.16	$2,458.16
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 $802.05 / $1,102.42 / $2,988.21	Professional		$802.05	$1,102.42	$2,988.21