Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.13 / $7,278.00 / $9,719.00	Facility		$1,403.13	$7,278.00	$9,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.13 / $1,403.13 / $1,403.13	Professional		$1,403.13	$1,403.13	$1,403.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,367.12 / $1,541.30 / $11,208.00	Professional		$1,367.12	$1,541.30	$11,208.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.11 / $1,623.52 / $3,384.48	Professional		$1,266.11	$1,623.52	$3,384.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.17 / $2,925.20 / $2,925.20	Professional		$1,394.17	$2,925.20	$2,925.20
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 $1,092.46 / $2,774.50 / $3,410.58	Professional		$1,092.46	$2,774.50	$3,410.58