Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $7,762.47	Facility		$1,698.24	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,630.27	Professional		$1,380.38	$1,659.59	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,187.76	Professional		$1,047.13	$1,659.59	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $4,265.80	Professional		$1,318.26	$1,659.59	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $3,467.37	Professional		$1,513.56	$1,621.81	$3,467.37
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 $1,174.90 / $1,584.89 / $3,801.89	Professional		$1,174.90	$1,584.89	$3,801.89