Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,614.00 / $7,727.00	Facility		$1,017.00	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.21 / $1,461.45 / $1,461.45	Professional		$1,197.21	$1,461.45	$1,461.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,389.99 / $1,848.69	Professional		$1,040.00	$1,389.99	$1,848.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.07 / $1,489.28 / $3,264.44	Professional		$1,122.07	$1,489.28	$3,264.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.71 / $2,563.81 / $2,835.43	Professional		$1,294.71	$2,563.81	$2,835.43
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.93 / $1,351.18 / $3,446.82	Professional		$992.93	$1,351.18	$3,446.82