Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,512.00 / $6,268.00	Facility		$1,614.00	$4,512.00	$6,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.98 / $1,074.98 / $1,074.98	Professional		$1,074.98	$1,074.98	$1,074.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,036.43 / $1,135.08 / $8,069.00	Professional		$1,036.43	$1,135.08	$8,069.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.94 / $1,370.12 / $3,186.63	Professional		$975.94	$1,370.12	$3,186.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.77 / $2,112.04 / $2,112.04	Professional		$965.77	$2,112.04	$2,112.04
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 $881.88 / $1,422.82 / $2,744.59	Professional		$881.88	$1,422.82	$2,744.59