Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,818.38	Professional		$891.25	$1,174.90	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,445.44	Professional		$1,071.52	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,754.23	Professional		$977.24	$1,412.54	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,862.09	Professional		$977.24	$1,122.02	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,137.96	Professional		$912.01	$1,258.93	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,479.11	Professional		$1,000.00	$1,258.93	$1,479.11