Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $4,073.80	Professional		$1,318.26	$1,621.81	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,905.46	Professional		$1,412.54	$1,584.89	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,715.35	Professional		$1,318.26	$1,949.84	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,511.89	Professional		$1,698.24	$1,905.46	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,884.03	Professional		$1,230.27	$1,737.80	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $2,344.23	Professional		$1,380.38	$2,089.30	$2,344.23