Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,722.98 / $1,722.98	Facility		$1,640.93	$1,722.98	$1,722.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,722.98	Professional		$1,640.93	$1,640.93	$1,722.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,190.31	Professional		$1,640.93	$1,640.93	$2,190.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,544.84	Professional		$1,640.93	$1,640.93	$3,544.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,548.05 / $1,640.93	Facility		$1,548.05	$1,548.05	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,359.07 / $1,394.79 / $1,640.93	Professional		$1,359.07	$1,394.79	$1,640.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $1,640.93 / $2,624.10	Facility		$1,560.00	$1,640.93	$2,624.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,350.00 / $3,204.91	Professional		$1,560.00	$2,350.00	$3,204.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,614.43 / $1,640.93 / $1,722.98	Professional		$1,614.43	$1,640.93	$1,722.98