Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.29 / $1,165.51 / $1,614.34	Professional		$1,045.29	$1,165.51	$1,614.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,163.08 / $1,292.32 / $2,003.10	Professional		$1,163.08	$1,292.32	$2,003.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.95 / $1,390.93 / $2,580.80	Professional		$985.95	$1,390.93	$2,580.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.36 / $1,454.16 / $2,009.65	Professional		$1,144.36	$1,454.16	$2,009.65
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $413.00 / $1,109.00	Facility		$303.00	$413.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.50 / $1,286.38 / $2,402.35	Professional		$914.50	$1,286.38	$2,402.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.02 / $1,408.69 / $1,716.55	Professional		$933.02	$1,408.69	$1,716.55