Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,265.80	Professional		$1,412.54	$1,778.28	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,949.84	Professional		$1,412.54	$1,621.81	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,715.35	Professional		$1,380.38	$1,862.09	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,951.21	Professional		$1,479.11	$1,659.59	$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 $1,230.27 / $1,698.24 / $3,162.28	Professional		$1,230.27	$1,698.24	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,187.76	Professional		$1,174.90	$1,698.24	$2,187.76