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 / $4,896.45	Facility		$4,483.93	$4,483.93	$4,896.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,378.42 / $4,483.93 / $4,483.93	Professional		$4,378.42	$4,483.93	$4,483.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,091.07 / $1,091.07 / $1,730.95	Professional		$1,091.07	$1,091.07	$1,730.95
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 / $1,597.12 / $1,878.96	Professional		$709.95	$1,597.12	$1,878.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $5,275.21 / $7,398.48	Facility		$4,483.93	$5,275.21	$7,398.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,520.25 / $1,831.00 / $2,765.57	Professional		$1,520.25	$1,831.00	$2,765.57
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,538.97	Professional		$5,275.21	$5,275.21	$5,538.97