Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $5,128.61	Professional		$1,380.38	$1,584.89	$5,128.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,187.76	Professional		$1,584.89	$1,778.28	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,467.37	Professional		$1,380.38	$1,905.46	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,754.23	Professional		$1,445.44	$1,621.81	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,884.03	Facility		$776.25	$1,174.90	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,162.28	Professional		$1,202.26	$1,737.80	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,238.72	Professional		$1,445.44	$1,737.80	$2,238.72