Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $4,105.50 / $4,105.50	Professional		$3,864.00	$4,105.50	$4,105.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,138.06 / $1,138.06 / $1,138.06	Professional		$1,138.06	$1,138.06	$1,138.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,898.00 / $2,898.00 / $4,006.80	Professional		$2,898.00	$2,898.00	$4,006.80
United Facility/Professional Professional Modifier Low / Median / High Price $4,158.00 / $4,200.00 / $4,431.00	Professional		$4,158.00	$4,200.00	$4,431.00