Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,495.41 / $7,762.47	Facility		$1,096.48	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $3,715.35	Professional		$1,096.48	$1,348.96	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $13,489.63 / $17,782.79	Professional		$1,479.11	$13,489.63	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,388.44	Professional		$1,230.27	$1,737.80	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $2,951.21	Professional		$1,202.26	$1,258.93	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $36,307.81	Facility		$4,073.80	$16,218.10	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,235.94	Professional		$1,174.90	$1,698.24	$3,235.94