Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.23 / $3,999.00 / $6,456.00	Facility		$1,591.23	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.23 / $1,591.23 / $1,591.23	Professional		$1,591.23	$1,591.23	$1,591.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,656.65 / $8,069.00	Professional		$1,420.00	$1,656.65	$8,069.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.62 / $1,977.92 / $4,011.40	Professional		$1,448.62	$1,977.92	$4,011.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,704.26 / $3,544.70 / $3,544.70	Professional		$1,704.26	$3,544.70	$3,544.70
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 $1,132.80 / $1,859.99 / $4,195.59	Professional		$1,132.80	$1,859.99	$4,195.59