Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.28 / $1,215.28 / $1,215.28	Facility		$1,215.28	$1,215.28	$1,215.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.28 / $1,215.28 / $1,215.28	Professional		$1,215.28	$1,215.28	$1,215.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,223.00 / $1,558.59	Professional		$1,223.00	$1,223.00	$1,558.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,040.02	Professional		$1,040.02	$1,040.02	$1,040.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $1,482.00 / $4,525.93	Professional		$1,482.00	$1,482.00	$4,525.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.31 / $1,137.47 / $1,611.41	Professional		$758.31	$1,137.47	$1,611.41