Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.70 / $1,292.70 / $1,292.70	Facility		$1,292.70	$1,292.70	$1,292.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.70 / $1,292.70 / $1,292.70	Professional		$1,292.70	$1,292.70	$1,292.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,657.89	Professional		$1,300.00	$1,300.00	$1,657.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,291.65	Professional		$1,291.65	$1,291.65	$1,291.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,576.42 / $1,576.42 / $4,814.27	Professional		$1,576.42	$1,576.42	$4,814.27
United Facility/Professional Professional Modifier Low / Median / High Price $806.62 / $1,209.93 / $2,068.00	Professional		$806.62	$1,209.93	$2,068.00