Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,098.98 / $1,226.96	Professional		$933.21	$1,098.98	$1,226.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,123.99 / $1,248.88 / $1,323.81	Professional		$1,123.99	$1,248.88	$1,323.81
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 $937.65 / $1,383.35 / $2,516.40	Professional		$937.65	$1,383.35	$2,516.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.25 / $1,501.88 / $1,961.10	Professional		$1,164.25	$1,501.88	$1,961.10
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 $814.92 / $1,215.25 / $2,277.59	Professional		$814.92	$1,215.25	$2,277.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.90 / $1,338.89 / $1,644.15	Professional		$928.90	$1,338.89	$1,644.15