Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.91 / $1,742.69 / $4,147.18	Professional		$740.91	$1,742.69	$4,147.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $825.14 / $846.71 / $951.07	Professional		$825.14	$846.71	$951.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $3,757.61	Facility		$990.00	$1,012.17	$3,757.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.68 / $1,724.86 / $3,902.37	Professional		$774.68	$1,724.86	$3,902.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,804.57 / $2,339.39 / $3,372.05	Professional		$1,804.57	$2,339.39	$3,372.05
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.85 / $2,159.54 / $3,906.44	Professional		$1,437.85	$2,159.54	$3,906.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $783.42 / $2,085.50 / $2,577.96	Professional		$783.42	$2,085.50	$2,577.96