Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,947.68 / $7,727.00	Facility		$1,017.00	$1,947.68	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.68 / $1,947.68 / $1,947.68	Professional		$1,947.68	$1,947.68	$1,947.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,113.17 / $2,133.91 / $4,127.99	Professional		$2,113.17	$2,133.91	$4,127.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.52 / $2,491.15 / $4,913.59	Professional		$1,770.52	$2,491.15	$4,913.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,082.96 / $4,337.60 / $4,337.60	Professional		$2,082.96	$4,337.60	$4,337.60
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,448.44 / $2,415.32 / $5,134.08	Professional		$1,448.44	$2,415.32	$5,134.08