Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.77 / $4,047.00 / $4,601.00	Facility		$1,285.77	$4,047.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.53 / $1,285.77 / $1,285.77	Professional		$1,081.53	$1,285.77	$1,285.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $1,167.14 / $1,552.30	Professional		$947.00	$1,167.14	$1,552.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.18 / $1,302.01 / $2,832.00	Professional		$975.18	$1,302.01	$2,832.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.44 / $2,236.80 / $2,502.42	Professional		$1,143.44	$2,236.80	$2,502.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.58 / $1,165.88 / $3,042.00	Professional		$837.58	$1,165.88	$3,042.00