Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.59 / $1,764.59 / $1,764.59	Facility		$1,764.59	$1,764.59	$1,764.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.59 / $1,764.59 / $1,764.59	Professional		$1,764.59	$1,764.59	$1,764.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,775.00 / $2,263.09	Professional		$1,775.00	$1,775.00	$2,263.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $1,812.49	Professional		$1,812.49	$1,812.49	$1,812.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,151.87 / $2,151.87 / $6,571.68	Professional		$2,151.87	$2,151.87	$6,571.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.07 / $1,651.61 / $2,339.78	Professional		$1,101.07	$1,651.61	$2,339.78