Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,128.61 / $7,762.47	Facility		$1,202.26	$5,128.61	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $3,388.44	Professional		$1,096.48	$1,202.26	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,230.27 / $5,495.41	Professional		$537.03	$1,230.27	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,019.95	Professional		$1,096.48	$1,412.54	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $2,344.23	Professional		$977.24	$1,047.13	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $14,454.40 / $26,302.68	Facility		$2,344.23	$14,454.40	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,951.21	Professional		$933.25	$1,288.25	$2,951.21