Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $4,220.17	Professional		$4,220.17	$4,220.17	$4,220.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.95 / $709.95 / $1,722.38	Professional		$709.95	$709.95	$1,722.38
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $8,549.95	Professional		$5,275.21	$5,275.21	$8,549.95