Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $4,073.80	Professional		$1,348.96	$1,698.24	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,089.30	Professional		$1,380.38	$1,548.82	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,630.78	Professional		$1,348.96	$1,819.70	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,951.21	Professional		$1,412.54	$1,584.89	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,090.30	Professional		$1,202.26	$1,659.59	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,137.96	Professional		$1,148.15	$1,621.81	$2,137.96