Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,801.89	Professional		$1,380.38	$1,819.70	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,137.96	Professional		$1,479.11	$1,778.28	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,168.69	Professional		$1,288.25	$2,089.30	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,884.03	Professional		$1,698.24	$1,905.46	$2,884.03
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 / $1,819.70 / $3,235.94	Professional		$1,230.27	$1,819.70	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $2,511.89	Professional		$1,318.26	$2,089.30	$2,511.89