Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $12,871.70 / $15,677.10	Facility		$4,128.02	$12,871.70	$15,677.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,169.30	Professional		$4,128.02	$4,128.02	$4,169.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,125.55 / $4,942.88	Professional		$4,125.55	$4,125.55	$4,942.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $3,894.36 / $4,128.02	Facility		$3,894.36	$3,894.36	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $5,160.74	Professional		$4,128.02	$4,128.02	$5,160.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,508.82 / $3,617.31 / $4,128.02	Professional		$3,508.82	$3,617.31	$4,128.02
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,595.35 / $6,076.53	Professional		$4,128.02	$4,595.35	$6,076.53