Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,737.80	Professional		$954.99	$1,122.02	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,621.81	Professional		$1,230.27	$1,230.27	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,584.89	Professional		$1,096.48	$1,096.48	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $4,570.88	Professional		$1,548.82	$3,311.31	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,137.96	Professional		$776.25	$1,148.15	$2,137.96