Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.50 / $1,229.34 / $5,258.00	Professional		$1,098.50	$1,229.34	$5,258.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.46 / $1,233.41 / $1,820.00	Professional		$1,202.46	$1,233.41	$1,820.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.30 / $1,478.53 / $2,891.21	Professional		$1,034.30	$1,478.53	$2,891.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.26 / $1,529.85 / $2,556.66	Professional		$1,150.26	$1,529.85	$2,556.66
United Facility/Professional Professional Modifier Low / Median / High Price $885.89 / $1,257.01 / $2,217.55	Professional		$885.89	$1,257.01	$2,217.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $987.42 / $1,322.80 / $1,635.00	Professional		$987.42	$1,322.80	$1,635.00