Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $10,648.80	Facility		$1,305.00	$1,305.00	$10,648.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $1,357.20	Professional		$1,305.00	$1,305.00	$1,357.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,600.80 / $1,600.80	Professional		$1,392.00	$1,600.80	$1,600.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.50 / $2,940.60 / $6,325.58	Facility		$2,827.50	$2,940.60	$6,325.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,019.33 / $2,019.33 / $2,219.26	Professional		$2,019.33	$2,019.33	$2,219.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,001.00 / $3,536.90 / $3,536.90	Professional		$2,001.00	$3,536.90	$3,536.90
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $1,409.21 / $2,766.60	Professional		$730.80	$1,409.21	$2,766.60