Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,818.38	Professional		$954.99	$1,122.02	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,584.89	Professional		$1,023.29	$1,288.25	$1,584.89
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 $1,023.29 / $1,380.38 / $2,511.89	Professional		$1,023.29	$1,380.38	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,949.84	Professional		$1,071.52	$1,174.90	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $3,548.13	Facility		$912.01	$1,047.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,290.87	Professional		$891.25	$1,230.27	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,621.81	Professional		$1,047.13	$1,258.93	$1,621.81