Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,833.00 / $9,719.00	Facility		$1,614.00	$4,833.00	$9,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,898.76 / $2,023.56 / $2,023.56	Professional		$1,898.76	$2,023.56	$2,023.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,570.50 / $2,088.77 / $11,208.00	Professional		$1,570.50	$2,088.77	$11,208.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.34 / $1,730.49 / $4,166.24	Professional		$1,353.34	$1,730.49	$4,166.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,629.76 / $1,887.09 / $3,612.01	Professional		$1,629.76	$1,887.09	$3,612.01
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 $1,126.41 / $1,983.83 / $4,284.46	Professional		$1,126.41	$1,983.83	$4,284.46