Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $4,376.93 / $6,875.87	Facility		$1,808.65	$4,376.93	$6,875.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $2,820.77 / $4,769.67	Professional		$1,808.65	$2,820.77	$4,769.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.27 / $1,706.27 / $1,808.65	Facility		$1,706.27	$1,706.27	$1,808.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.35 / $1,537.35 / $1,808.65	Professional		$1,537.35	$1,537.35	$1,808.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $2,089.96 / $2,348.26	Professional		$1,808.65	$2,089.96	$2,348.26