Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,076.00 / $6,945.00	Facility		$1,614.00	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,139.25 / $2,139.25 / $2,139.25	Professional		$2,139.25	$2,139.25	$2,139.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,097.40 / $2,112.92 / $16,714.00	Professional		$2,097.40	$2,112.92	$16,714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,968.59 / $2,643.17 / $5,123.24	Professional		$1,968.59	$2,643.17	$5,123.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,138.46 / $4,487.77 / $4,487.77	Professional		$2,138.46	$4,487.77	$4,487.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,840.86 / $4,404.03 / $5,522.59	Professional		$1,840.86	$4,404.03	$5,522.59