Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.43 / $4,004.00 / $4,601.00	Facility		$1,202.43	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.43 / $1,202.43 / $1,202.43	Professional		$1,202.43	$1,202.43	$1,202.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,146.03 / $1,253.26 / $6,458.00	Professional		$1,146.03	$1,253.26	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.18 / $1,731.52 / $3,047.76	Professional		$1,098.18	$1,731.52	$3,047.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.98 / $2,681.58 / $2,681.58	Professional		$1,291.98	$2,681.58	$2,681.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.38 / $1,568.59 / $3,173.98	Professional		$1,006.38	$1,568.59	$3,173.98