Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,825.00 / $4,896.00	Professional		$3,735.00	$3,825.00	$4,896.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $3,633.75 / $4,275.00	Professional		$412.16	$3,633.75	$4,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,500.00	Professional		$3,750.00	$3,750.00	$4,500.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $882.79 / $882.79 / $882.79	Professional		$882.79	$882.79	$882.79