Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,884.03	Professional		$933.25	$1,096.48	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,548.82	Professional		$1,122.02	$1,258.93	$1,548.82
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 $954.99 / $1,288.25 / $2,344.23	Professional		$954.99	$1,288.25	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,819.70	Professional		$1,000.00	$1,096.48	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $954.99 / $2,884.03	Facility		$776.25	$954.99	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,041.74	Professional		$851.14	$1,202.26	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,513.56	Professional		$1,047.13	$1,174.90	$1,513.56