Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,819.70	Professional		$891.25	$1,096.48	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,548.82	Professional		$1,202.26	$1,202.26	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,445.44	Professional		$1,000.00	$1,000.00	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $4,466.84	Professional		$1,479.11	$3,235.94	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,698.24	Professional		$741.31	$1,148.15	$1,698.24