Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.84 / $3,999.00 / $6,456.00	Facility		$1,383.84	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.31 / $1,383.84 / $1,383.84	Professional		$1,301.31	$1,383.84	$1,383.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,119.73 / $1,489.24 / $4,931.00	Professional		$1,119.73	$1,489.24	$4,931.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.69 / $1,297.70 / $2,857.60	Professional		$941.69	$1,297.70	$2,857.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.91 / $1,295.58 / $2,477.44	Professional		$1,118.91	$1,295.58	$2,477.44
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 $767.94 / $1,007.69 / $3,023.06	Professional		$767.94	$1,007.69	$3,023.06