Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,981.07	Professional		$1,202.26	$1,445.44	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,737.80	Professional		$1,288.25	$1,445.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,630.78	Professional		$1,230.27	$1,659.59	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,511.89	Professional		$1,202.26	$1,380.38	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,570.40	Professional		$1,096.48	$1,513.56	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,819.70	Professional		$1,023.29	$1,548.82	$1,819.70