Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.60 / $3,999.00 / $6,456.00	Facility		$1,255.60	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.64 / $1,255.60 / $1,255.60	Professional		$1,170.64	$1,255.60	$1,255.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $961.16 / $1,278.33 / $6,701.00	Professional		$961.16	$1,278.33	$6,701.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.12 / $1,023.40 / $2,576.96	Professional		$785.12	$1,023.40	$2,576.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.28 / $1,161.69 / $2,234.16	Professional		$1,003.28	$1,161.69	$2,234.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $8,777.00 / $26,408.00	Facility		$2,648.00	$8,777.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.41 / $853.54 / $2,560.61	Professional		$654.41	$853.54	$2,560.61