Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.97 / $1,059.85 / $2,347.87	Professional		$903.97	$1,059.85	$2,347.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,032.36 / $1,055.23 / $1,206.13	Professional		$1,032.36	$1,055.23	$1,206.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.97 / $1,326.87 / $2,436.83	Professional		$891.97	$1,326.87	$2,436.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.87 / $1,304.56 / $2,097.81	Professional		$980.87	$1,304.56	$2,097.81
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 $804.50 / $1,144.03 / $1,931.17	Professional		$804.50	$1,144.03	$1,931.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.63 / $1,128.00 / $1,376.58	Professional		$762.63	$1,128.00	$1,376.58