Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,621.81	Professional		$831.76	$1,096.48	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Professional		$1,071.52	$1,071.52	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,584.89	Professional		$1,122.02	$1,122.02	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $3,981.07	Professional		$1,348.96	$2,884.03	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,862.09	Professional		$676.08	$1,000.00	$1,862.09