Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.44 / $1,852.01 / $3,063.74	Professional		$1,699.44	$1,852.01	$3,063.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,709.14 / $1,815.82 / $2,075.48	Professional		$1,709.14	$1,815.82	$2,075.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.23 / $1,901.96 / $3,811.88	Professional		$1,419.23	$1,901.96	$3,811.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.83 / $2,008.31 / $3,298.91	Professional		$1,556.83	$2,008.31	$3,298.91
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,315.54 / $1,758.87 / $4,131.39	Professional		$1,315.54	$1,758.87	$4,131.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,240.91 / $1,240.91 / $2,181.15	Professional		$1,240.91	$1,240.91	$2,181.15