Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $19,584.00	Facility		$2,400.00	$2,400.00	$19,584.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,496.00	Professional		$2,400.00	$2,400.00	$2,496.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,560.00 / $2,560.00 / $2,560.00	Professional		$2,560.00	$2,560.00	$2,560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $5,408.00 / $11,633.40	Facility		$5,200.00	$5,408.00	$11,633.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,714.13 / $3,714.13 / $4,081.86	Professional		$3,714.13	$3,714.13	$4,081.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,680.00 / $6,504.64 / $6,504.64	Professional		$3,680.00	$6,504.64	$6,504.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $5,088.00	Professional		$1,344.00	$1,920.00	$5,088.00