Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.36 / $1,406.57 / $3,432.97	Professional		$1,354.36	$1,406.57	$3,432.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,669.72 / $1,736.56 / $1,984.88	Professional		$1,669.72	$1,736.56	$1,984.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.91 / $2,015.75 / $3,617.78	Professional		$1,280.91	$2,015.75	$3,617.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,447.11 / $1,924.66 / $3,101.47	Professional		$1,447.11	$1,924.66	$3,101.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,197.82 / $1,624.93 / $2,832.00	Professional		$1,197.82	$1,624.93	$2,832.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,109.86 / $1,664.18 / $2,060.51	Professional		$1,109.86	$1,664.18	$2,060.51