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 $1,177.94 / $1,177.94 / $1,177.94	Professional		$1,177.94	$1,177.94	$1,177.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,269.60 / $1,398.12	Professional		$1,160.00	$1,269.60	$1,398.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.89 / $1,445.02 / $3,791.60	Professional		$1,119.89	$1,445.02	$3,791.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.22 / $2,457.84 / $2,457.84	Professional		$1,123.22	$2,457.84	$2,457.84
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 $985.73 / $1,608.74 / $2,847.80	Professional		$985.73	$1,608.74	$2,847.80