Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.00 / $1,268.00 / $1,268.00	Facility		$1,268.00	$1,268.00	$1,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,268.00 / $1,268.00 / $1,268.00	Professional		$1,268.00	$1,268.00	$1,268.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,276.00 / $1,276.00	Professional		$1,276.00	$1,276.00	$1,276.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,172.52	Professional		$1,172.52	$1,172.52	$1,172.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,546.29 / $1,546.29 / $4,722.27	Professional		$1,546.29	$1,546.29	$4,722.27
United Facility/Professional Professional Modifier Low / Median / High Price $791.20 / $1,186.81 / $1,681.31	Professional		$791.20	$1,186.81	$1,681.31