Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $2,558.57 / $3,301.74	Professional		$165.90	$2,558.57	$3,301.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $178.91 / $204.50	Professional		$178.48	$178.91	$204.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,433.72 / $4,433.72 / $4,433.72	Facility		$4,433.72	$4,433.72	$4,433.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $443.82 / $5,896.85	Professional		$174.99	$443.82	$5,896.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,484.98 / $3,205.62 / $6,021.28	Professional		$2,484.98	$3,205.62	$6,021.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,815.21 / $4,389.08 / $7,174.15	Professional		$2,815.21	$4,389.08	$7,174.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,857.73 / $3,163.41 / $3,559.06	Professional		$2,857.73	$3,163.41	$3,559.06