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 $912.01 / $1,023.29 / $1,412.54	Professional		$912.01	$1,023.29	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Professional		$891.25	$891.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $4,168.69	Professional		$1,412.54	$3,019.95	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,584.89	Professional		$707.95	$1,047.13	$1,584.89