Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.10 / $6,860.00 / $9,719.00	Facility		$1,482.10	$6,860.00	$9,719.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,111.58 / $1,111.58 / $1,111.58	Facility	54	$1,111.58	$1,111.58	$1,111.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,482.10 / $1,482.10	Professional		$992.21	$1,482.10	$1,482.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,246.80 / $1,664.87 / $6,937.00	Professional		$1,246.80	$1,664.87	$6,937.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.92 / $1,352.20 / $3,077.10	Professional		$1,049.92	$1,352.20	$3,077.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.04 / $1,404.57 / $2,667.76	Professional		$1,213.04	$1,404.57	$2,667.76
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 $879.86 / $1,261.82 / $3,164.42	Professional		$879.86	$1,261.82	$3,164.42