Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,511.89	Professional		$812.83	$1,202.26	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,584.89	Professional		$1,202.26	$1,348.96	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,630.27	Professional		$933.25	$1,288.25	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,137.96	Professional		$1,258.93	$1,412.54	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $1,122.02	Facility		$194.98	$436.52	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,398.83	Professional		$794.33	$1,230.27	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $1,905.46	Professional		$851.14	$1,479.11	$1,905.46