Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $6,516.00	Facility		$3,947.40	$3,947.40	$6,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $3,715.20	Professional		$3,715.20	$3,715.20	$3,715.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,750.03 / $3,750.03 / $7,775.96	Professional		$3,750.03	$3,750.03	$7,775.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $6,272.42	Professional		$3,870.00	$3,870.00	$6,272.42