Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,778.28	Professional		$870.96	$1,000.00	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,288.25	Professional		$954.99	$1,047.13	$1,288.25
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 $912.01 / $1,288.25 / $2,238.72	Professional		$912.01	$1,288.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,949.84	Professional		$912.01	$1,047.13	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $1,621.81	Facility		$478.63	$616.60	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,041.74	Professional		$831.76	$1,122.02	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,412.54	Professional		$933.25	$1,096.48	$1,412.54