Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.68 / $1,574.33 / $1,794.96	Professional		$1,340.68	$1,574.33	$1,794.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,618.74 / $1,820.31 / $2,002.34	Professional		$1,618.74	$1,820.31	$2,002.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.55 / $1,980.39 / $3,594.77	Professional		$1,386.55	$1,980.39	$3,594.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,650.47 / $2,143.32 / $2,779.74	Professional		$1,650.47	$2,143.32	$2,779.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.46 / $1,789.16 / $3,037.41	Professional		$1,196.46	$1,789.16	$3,037.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,386.78 / $1,910.71 / $2,345.82	Professional		$1,386.78	$1,910.71	$2,345.82