Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.93 / $1,626.78 / $1,648.76	Professional		$1,428.93	$1,626.78	$1,648.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,758.68 / $2,022.48 / $2,305.63	Professional		$1,758.68	$2,022.48	$2,305.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.13 / $1,165.13 / $1,165.13	Professional		$1,165.13	$1,165.13	$1,165.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,528.10 / $3,297.53	Professional		$2,198.35	$2,528.10	$3,297.53
United Facility/Professional Facility Modifier Low / Median / High Price $923.31 / $923.31 / $923.31	Facility		$923.31	$923.31	$923.31
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $989.26 / $1,978.52	Professional		$923.31	$989.26	$1,978.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,099.18 / $1,099.18 / $1,099.18	Professional		$1,099.18	$1,099.18	$1,099.18