Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,014.04 / $10,014.04 / $10,014.04	Facility		$10,014.04	$10,014.04	$10,014.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.02 / $987.21 / $1,537.42	Professional		$855.02	$987.21	$1,537.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,007.21 / $1,007.21 / $1,128.08	Professional		$1,007.21	$1,007.21	$1,128.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $3,314.62	Facility		$627.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.54 / $1,277.02 / $2,267.23	Professional		$886.54	$1,277.02	$2,267.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.49 / $1,348.68 / $1,766.30	Professional		$1,045.49	$1,348.68	$1,766.30
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.47 / $1,108.21 / $1,940.69	Professional		$765.47	$1,108.21	$1,940.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $862.53 / $1,202.31 / $1,476.50	Professional		$862.53	$1,202.31	$1,476.50