Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.36 / $3,999.00 / $6,456.00	Facility		$1,457.36	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.36 / $1,457.36 / $1,457.36	Professional		$1,457.36	$1,457.36	$1,457.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,689.33 / $1,744.42 / $12,611.00	Professional		$1,689.33	$1,744.42	$12,611.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.33 / $1,999.93 / $3,695.84	Professional		$1,331.33	$1,999.93	$3,695.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.28 / $3,249.70 / $3,249.70	Professional		$1,566.28	$3,249.70	$3,249.70
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 $1,203.88 / $1,917.64 / $3,846.42	Professional		$1,203.88	$1,917.64	$3,846.42