Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $4,881.05 / $8,030.31	Facility		$2,116.32	$4,881.05	$8,030.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $3,215.69 / $5,437.43	Professional		$2,113.23	$3,215.69	$5,437.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $1,996.53 / $2,116.32	Facility		$1,996.53	$1,996.53	$2,116.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,798.87 / $1,798.87 / $2,116.32	Professional		$1,798.87	$1,798.87	$2,116.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,925.85 / $2,116.32 / $3,430.09	Professional		$1,925.85	$2,116.32	$3,430.09