Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.24 / $1,124.53 / $3,013.74	Professional		$896.24	$1,124.53	$3,013.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $993.24 / $1,103.59 / $1,820.94	Professional		$993.24	$1,103.59	$1,820.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $3,018.07 / $3,914.00	Facility		$818.00	$3,018.07	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.14 / $1,163.01 / $2,179.98	Professional		$821.14	$1,163.01	$2,179.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.55 / $1,217.98 / $1,771.60	Professional		$977.55	$1,217.98	$1,771.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,679.00 / $3,590.00	Facility		$1,236.00	$1,679.00	$3,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.34 / $1,104.49 / $1,996.37	Professional		$815.34	$1,104.49	$1,996.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $729.65 / $1,191.77 / $1,466.32	Professional		$729.65	$1,191.77	$1,466.32