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 / $7,079.46	Facility		$1,412.54	$4,073.80	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,630.78	Professional		$1,202.26	$1,548.82	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $7,943.28	Professional		$1,000.00	$3,715.35	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,630.78	Professional		$1,202.26	$1,621.81	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $3,467.37	Professional		$1,737.80	$1,819.70	$3,467.37
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 $1,096.48 / $1,659.59 / $3,388.44	Professional		$1,096.48	$1,659.59	$3,388.44