Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,688.00 / $2,688.00 / $2,688.00	Professional		$2,688.00	$2,688.00	$2,688.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,294.60 / $3,294.60 / $3,876.00	Professional		$3,294.60	$3,294.60	$3,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $5,510.65	Professional		$3,400.00	$3,400.00	$5,510.65