Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $767.60 / $1,935.26	Professional		$705.15	$767.60	$1,935.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $939.28 / $982.20 / $1,481.85	Professional		$939.28	$982.20	$1,481.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,162.83 / $5,162.83 / $5,162.83	Facility		$5,162.83	$5,162.83	$5,162.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.81 / $1,192.00 / $2,172.61	Professional		$775.81	$1,192.00	$2,172.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.88 / $1,128.59 / $1,881.77	Professional		$874.88	$1,128.59	$1,881.77
United Facility/Professional Facility Modifier Low / Median / High Price $20,822.43 / $20,822.43 / $20,822.43	Facility		$20,822.43	$20,822.43	$20,822.43
United Facility/Professional Professional Modifier Low / Median / High Price $768.16 / $1,078.79 / $1,706.19	Professional		$768.16	$1,078.79	$1,706.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.88 / $1,006.11 / $1,241.84	Professional		$874.88	$1,006.11	$1,241.84