Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,454.71	Professional		$1,071.52	$1,348.96	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,949.84	Professional		$1,230.27	$1,380.38	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $2,089.30	Facility		$575.44	$602.56	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,454.71	Professional		$912.01	$1,318.26	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,949.84	Professional		$1,071.52	$1,348.96	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,174.90	Facility		$302.00	$416.87	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,344.23	Professional		$933.25	$1,318.26	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $1,819.70	Professional		$891.25	$1,584.89	$1,819.70