Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,445.50 / $6,445.50 / $6,445.50	Facility		$6,445.50	$6,445.50	$6,445.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,445.50 / $6,445.50 / $6,445.50	Professional		$6,445.50	$6,445.50	$6,445.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,484.00 / $6,484.00 / $8,266.36	Professional		$6,484.00	$6,484.00	$8,266.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $5,928.46	Professional		$5,928.46	$5,928.46	$5,928.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,860.13 / $7,860.13 / $24,004.32	Professional		$7,860.13	$7,860.13	$24,004.32
United Facility/Professional Professional Modifier Low / Median / High Price $4,021.88 / $5,879.35 / $8,546.49	Professional		$4,021.88	$5,879.35	$8,546.49