Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.82 / $4,004.00 / $4,601.00	Facility		$1,105.82	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.82 / $1,105.82 / $2,832.87	Professional		$1,105.82	$1,105.82	$2,832.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,175.29 / $1,213.60 / $6,458.00	Professional		$1,175.29	$1,213.60	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.56 / $1,560.52 / $2,802.65	Professional		$1,009.56	$1,560.52	$2,802.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.71 / $2,465.06 / $2,465.06	Professional		$1,187.71	$2,465.06	$2,465.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $12,808.14 / $28,056.00	Facility		$3,261.00	$12,808.14	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.24 / $1,394.88 / $2,917.70	Professional		$893.24	$1,394.88	$2,917.70