Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.09 / $1,446.29 / $4,020.71	Professional		$1,369.09	$1,446.29	$4,020.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,570.46 / $1,672.91 / $2,124.60	Professional		$1,570.46	$1,672.91	$2,124.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.26 / $2,070.35 / $3,810.64	Professional		$1,319.26	$2,070.35	$3,810.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.64 / $1,760.39 / $3,192.27	Professional		$1,364.64	$1,760.39	$3,192.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $416.43 / $537.19 / $896.16	Professional	26	$416.43	$537.19	$896.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.28 / $1,692.53 / $2,959.50	Professional		$1,160.28	$1,692.53	$2,959.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,205.26 / $1,205.26 / $1,929.17	Professional		$1,205.26	$1,205.26	$1,929.17