Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.25 / $1,428.25 / $1,428.25	Facility		$1,428.25	$1,428.25	$1,428.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.25 / $1,428.25 / $1,428.25	Professional		$1,428.25	$1,428.25	$1,428.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,495.89 / $1,495.89 / $1,495.89	Professional		$1,495.89	$1,495.89	$1,495.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $1,667.14	Professional		$1,667.14	$1,667.14	$1,667.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,741.71 / $1,741.71 / $5,319.09	Professional		$1,741.71	$1,741.71	$5,319.09
United Facility/Professional Professional Modifier Low / Median / High Price $891.20 / $1,336.80 / $2,033.54	Professional		$891.20	$1,336.80	$2,033.54