Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.49 / $4,100.00 / $6,456.00	Facility		$1,180.49	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.49 / $1,180.49 / $1,180.49	Professional		$1,180.49	$1,180.49	$1,180.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.53 / $1,310.76 / $4,930.00	Professional		$1,202.53	$1,310.76	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.71 / $1,529.20 / $2,977.03	Professional		$1,059.71	$1,529.20	$2,977.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.08 / $2,630.64 / $2,630.64	Professional		$1,266.08	$2,630.64	$2,630.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $6,073.00 / $26,408.00	Facility		$1,832.00	$6,073.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.57 / $1,514.62 / $3,113.68	Professional		$1,076.57	$1,514.62	$3,113.68