Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.88 / $1,468.88 / $1,468.88	Facility		$1,468.88	$1,468.88	$1,468.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.88 / $1,468.88 / $1,468.88	Professional		$1,468.88	$1,468.88	$1,468.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,538.46 / $1,538.46 / $1,615.38	Professional		$1,538.46	$1,538.46	$1,615.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $1,257.05	Professional		$1,257.05	$1,257.05	$1,257.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,791.26 / $1,791.26 / $5,470.40	Professional		$1,791.26	$1,791.26	$5,470.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.26 / $4,409.26 / $4,409.26	Facility		$4,409.26	$4,409.26	$4,409.26
United Facility/Professional Professional Modifier Low / Median / High Price $916.56 / $1,374.83 / $1,947.68	Professional		$916.56	$1,374.83	$1,947.68