Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,398.83	Professional		$831.76	$1,000.00	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,584.89	Professional		$977.24	$1,071.52	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $3,311.31	Facility		$630.96	$645.65	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,187.76	Professional		$912.01	$1,202.26	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,737.80	Professional		$933.25	$1,047.13	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $2,884.03	Facility		$776.25	$912.01	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,995.26	Professional		$794.33	$1,096.48	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,445.44	Professional		$912.01	$1,122.02	$1,445.44