Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,495.41 / $7,762.47	Facility		$1,348.96	$5,495.41	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,548.13	Professional		$1,071.52	$1,348.96	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,348.96 / $4,365.16	Professional		$537.03	$1,348.96	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,235.94	Professional		$1,230.27	$1,621.81	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $2,818.38	Professional		$1,148.15	$2,511.89	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,162.28	Professional		$1,071.52	$1,621.81	$3,162.28