Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,940.00 / $12,240.00	Facility		$1,500.00	$3,940.00	$12,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,560.00	Professional		$1,500.00	$1,500.00	$1,560.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,200.00 / $9,943.76	Professional		$2,000.00	$2,200.00	$9,943.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $3,380.00 / $7,270.72	Facility		$3,250.00	$3,380.00	$7,270.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.48 / $6,326.95 / $15,582.65	Professional		$1,205.48	$6,326.95	$15,582.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $4,065.40 / $4,065.40	Professional		$2,300.00	$4,065.40	$4,065.40
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,200.00 / $3,180.00	Professional		$840.00	$1,200.00	$3,180.00