Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.73 / $1,802.98 / $4,671.35	Professional		$1,781.73	$1,802.98	$4,671.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,609.39 / $1,739.61 / $2,000.55	Professional		$1,609.39	$1,739.61	$2,000.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.64 / $1,804.04 / $3,110.99	Professional		$1,542.64	$1,804.04	$3,110.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,857.87 / $2,151.21 / $3,911.30	Professional		$1,857.87	$2,151.21	$3,911.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.13 / $1,786.78 / $3,399.30	Professional		$1,317.13	$1,786.78	$3,399.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,267.48 / $1,955.65 / $2,140.52	Professional		$1,267.48	$1,955.65	$2,140.52