Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.33 / $1,077.33 / $3,309.53	Professional		$1,077.33	$1,077.33	$3,309.53
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $5,186.50	Professional		$3,200.00	$3,200.00	$5,186.50