Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.40 / $1,552.40 / $1,552.40	Facility		$1,552.40	$1,552.40	$1,552.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.40 / $1,552.40 / $1,552.40	Professional		$1,552.40	$1,552.40	$1,552.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,562.00 / $1,562.00 / $1,990.95	Professional		$1,562.00	$1,562.00	$1,990.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $1,328.52	Professional		$1,328.52	$1,328.52	$1,328.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,893.11 / $1,893.11 / $5,781.45	Professional		$1,893.11	$1,893.11	$5,781.45
United Facility/Professional Professional Modifier Low / Median / High Price $968.67 / $1,453.01 / $2,058.42	Professional		$968.67	$1,453.01	$2,058.42