Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $5,428.70 / $10,738.10	Facility		$4,971.34	$5,428.70	$10,738.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,971.34 / $4,971.34	Professional		$4,678.89	$4,971.34	$4,971.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,166.29 / $10,694.22 / $16,893.77	Facility		$5,166.29	$10,694.22	$16,893.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $6,675.51	Professional		$4,971.34	$4,971.34	$6,675.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $5,166.29 / $5,166.29	Professional		$5,166.29	$5,166.29	$5,166.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,244.99	Facility		$4,971.34	$4,971.34	$5,244.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,349.22 / $5,436.54 / $9,024.66	Professional		$4,349.22	$5,436.54	$9,024.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,363.33 / $5,102.34 / $7,895.65	Facility		$3,363.33	$5,102.34	$7,895.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,868.15 / $6,283.00 / $8,278.04	Professional		$3,868.15	$6,283.00	$8,278.04
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,166.29 / $5,756.05	Professional		$4,873.85	$5,166.29	$5,756.05