Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,314.26 / $1,393.12	Facility		$1,314.26	$1,314.26	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,774.26	Professional		$1,393.12	$1,393.12	$1,774.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.15 / $1,184.15 / $2,106.91	Professional		$1,184.15	$1,184.15	$2,106.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,257.94	Professional		$1,393.12	$1,393.12	$2,257.94