Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,715.35	Professional		$1,122.02	$1,348.96	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,621.81	Professional		$1,202.26	$1,318.26	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,388.44	Professional		$1,148.15	$1,548.82	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $2,041.74	Professional		$1,122.02	$1,258.93	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,398.83	Professional		$1,023.29	$1,445.44	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $1,659.59	Professional		$1,000.00	$1,445.44	$1,659.59