Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $7,762.47	Facility		$1,513.56	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,290.87	Professional		$1,202.26	$1,412.54	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,819.70	Professional		$1,258.93	$1,412.54	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,630.78	Professional		$1,202.26	$1,513.56	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $2,630.27	Professional		$1,318.26	$1,380.38	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $6,309.57	Facility		$645.65	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,162.28	Professional		$1,047.13	$1,479.11	$3,162.28