Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,659.59	Professional		$954.99	$1,122.02	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,445.44	Professional		$1,122.02	$1,122.02	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,659.59	Professional		$1,174.90	$1,174.90	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $4,168.69	Professional		$1,380.38	$3,019.95	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,584.89	Professional		$691.83	$1,071.52	$1,584.89