Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $3,774.77 / $3,774.77	Facility		$3,774.77	$3,774.77	$3,774.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,876.75	Professional		$3,692.14	$3,692.14	$3,876.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,702.26	Professional		$3,692.14	$3,692.14	$4,702.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.32 / $3,480.61 / $3,867.34	Professional		$3,138.32	$3,480.61	$3,867.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,421.37 / $3,421.37 / $3,421.37	Facility		$3,421.37	$3,421.37	$3,421.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,867.34	Professional		$3,692.14	$3,692.14	$3,867.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,836.70	Professional		$3,692.14	$3,692.14	$4,836.70