Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,645.41	Professional		$1,645.41	$1,645.41	$1,645.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,660.83 / $1,660.83 / $2,034.97	Professional		$1,660.83	$1,660.83	$2,034.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,777.97	Professional		$1,713.97	$1,713.97	$2,777.97