Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $7,762.47	Facility		$977.24	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $3,890.45	Professional		$977.24	$1,288.25	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,819.70	Professional		$1,380.38	$1,513.56	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $2,754.23	Professional		$1,174.90	$1,230.27	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $26,915.35	Facility		$3,311.31	$7,943.28	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,019.95	Professional		$1,023.29	$1,445.44	$3,019.95