Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.48 / $1,435.48 / $1,435.48	Facility		$1,435.48	$1,435.48	$1,435.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.48 / $1,435.48 / $1,435.48	Professional		$1,435.48	$1,435.48	$1,435.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $1,551.33 / $2,500.00	Professional		$596.00	$1,551.33	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.95 / $1,868.53 / $3,623.01	Professional		$1,088.95	$1,868.53	$3,623.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.73 / $3,201.16 / $3,201.16	Professional		$1,537.73	$3,201.16	$3,201.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.67 / $2,056.19 / $3,788.96	Professional		$1,141.67	$2,056.19	$3,788.96