Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,884.03	Professional		$1,819.70	$2,238.72	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,454.71	Professional		$1,949.84	$2,187.76	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $4,073.80	Professional		$2,691.53	$3,090.30	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,041.74	Facility		$1,148.15	$1,148.15	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $2,187.76	Professional		$1,148.15	$1,230.27	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96