Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Professional		$258.39	$258.39	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $1,951.39 / $2,068.46	Facility		$1,951.39	$1,951.39	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,634.37	Professional		$2,068.46	$2,068.46	$2,634.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.20 / $1,758.20 / $3,091.37	Professional		$1,758.20	$1,758.20	$3,091.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,352.53	Professional		$2,068.46	$2,068.46	$3,352.53