Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.13 / $1,656.13 / $1,656.13	Facility		$1,656.13	$1,656.13	$1,656.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.13 / $1,656.13 / $1,656.13	Professional		$1,656.13	$1,656.13	$1,656.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,666.00 / $1,666.00 / $2,123.98	Professional		$1,666.00	$1,666.00	$2,123.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $1,810.27	Professional		$1,810.27	$1,810.27	$1,810.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,019.60 / $2,019.60 / $6,167.74	Professional		$2,019.60	$2,019.60	$6,167.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.39 / $1,550.09 / $2,357.98	Professional		$1,033.39	$1,550.09	$2,357.98