Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.67 / $1,435.48 / $5,837.66	Professional		$1,231.67	$1,435.48	$5,837.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,551.33 / $1,551.33 / $1,985.70	Professional		$1,551.33	$1,551.33	$1,985.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.69 / $1,823.51 / $3,632.52	Professional		$1,095.69	$1,823.51	$3,632.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.72 / $1,930.77 / $3,133.03	Professional		$1,496.72	$1,930.77	$3,133.03
United Facility/Professional Professional Modifier Low / Median / High Price $766.30 / $1,513.36 / $2,670.21	Professional		$766.30	$1,513.36	$2,670.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.93 / $1,721.23 / $2,064.32	Professional		$1,148.93	$1,721.23	$2,064.32