Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $1,230.27	Professional		$295.12	$436.52	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $426.58	Professional		$331.13	$363.08	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $812.83	Professional		$323.59	$446.68	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $954.99	Professional		$457.09	$562.34	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $794.33	Professional		$295.12	$436.52	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $776.25	Professional		$346.74	$501.19	$776.25