Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.83 / $4,004.00 / $4,601.00	Facility		$1,038.83	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.83 / $1,038.83 / $1,118.51	Professional		$1,038.83	$1,038.83	$1,118.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,092.98 / $1,092.98 / $4,131.00	Professional		$1,092.98	$1,092.98	$4,131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.37 / $1,428.28 / $2,623.22	Professional		$946.37	$1,428.28	$2,623.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.38 / $2,301.12 / $2,301.12	Professional		$1,113.38	$2,301.12	$2,301.12
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 $829.29 / $1,937.27 / $2,723.66	Professional		$829.29	$1,937.27	$2,723.66