Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,111.88 / $2,168.25 / $10,426.00	Professional		$2,111.88	$2,168.25	$10,426.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,355.40 / $2,355.40 / $2,692.22	Professional		$2,355.40	$2,355.40	$2,692.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.37 / $2,779.22 / $5,487.69	Professional		$1,947.37	$2,779.22	$5,487.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,258.34 / $3,003.59 / $4,736.46	Professional		$2,258.34	$3,003.59	$4,736.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.21 / $2,473.84 / $4,314.14	Professional		$1,737.21	$2,473.84	$4,314.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,924.49 / $2,597.09 / $3,110.69	Professional		$1,924.49	$2,597.09	$3,110.69