Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $6,456.54	Facility		$1,412.54	$4,073.80	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,691.53	Professional		$891.25	$1,174.90	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $5,128.61 / $13,182.57	Professional		$741.31	$5,128.61	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,754.23	Professional		$891.25	$1,230.27	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $2,818.38	Professional		$1,380.38	$1,479.11	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $28,840.32	Facility		$2,344.23	$16,218.10	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,511.89	Professional		$831.76	$1,258.93	$2,511.89