Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,702.69 / $3,267.84 / $4,556.00	Professional		$2,702.69	$3,267.84	$4,556.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,019.89 / $5,019.89 / $5,019.89	Professional		$5,019.89	$5,019.89	$5,019.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $200.00 / $200.00	Facility		$75.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,344.98 / $3,344.98	Professional		$462.00	$3,344.98	$3,344.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,598.42 / $4,456.31 / $6,108.81	Professional		$3,598.42	$4,456.31	$6,108.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,414.81 / $3,216.60 / $5,381.40	Professional		$2,414.81	$3,216.60	$5,381.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,255.45 / $4,255.45 / $4,670.33	Professional		$4,255.45	$4,255.45	$4,670.33