Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $7,762.47	Facility		$1,202.26	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $3,388.44	Professional		$1,148.15	$1,202.26	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $10,715.19	Professional		$1,096.48	$1,621.81	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,019.95	Professional		$1,071.52	$1,548.82	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $2,691.53	Professional		$1,122.02	$2,398.83	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,549.93 / $26,915.35	Facility		$3,311.31	$9,549.93	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $3,162.28	Professional		$1,000.00	$1,584.89	$3,162.28