Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $3,801.89	Professional		$954.99	$1,122.02	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,479.11	Professional		$1,148.15	$1,288.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,238.72	Professional		$1,023.29	$1,380.38	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,187.76	Professional		$1,412.54	$1,548.82	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $660.69	Facility		$416.87	$416.87	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,290.87	Professional		$933.25	$1,174.90	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,137.96	Professional		$1,445.44	$1,659.59	$2,137.96