Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $7,837.71 / $7,837.71	Facility		$1,053.85	$7,837.71	$7,837.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.06 / $1,053.85 / $1,053.85	Professional		$1,029.06	$1,053.85	$1,053.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.17 / $1,001.17 / $1,177.84	Professional		$1,001.17	$1,001.17	$1,177.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,674.59	Professional		$1,033.20	$1,033.20	$1,674.59