Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.75 / $3,999.00 / $6,456.00	Facility		$1,094.75	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.75 / $1,094.75 / $2,804.53	Professional		$1,094.75	$1,094.75	$2,804.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,155.41 / $1,287.65 / $6,458.00	Professional		$1,155.41	$1,287.65	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.16 / $1,482.37 / $2,777.76	Professional		$1,012.16	$1,482.37	$2,777.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.78 / $2,472.21 / $2,472.21	Professional		$1,190.78	$2,472.21	$2,472.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.77 / $1,554.54 / $2,926.16	Professional		$889.77	$1,554.54	$2,926.16