Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.91 / $1,183.74 / $1,720.80	Professional		$1,020.91	$1,183.74	$1,720.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,740.40 / $2,262.52 / $2,262.52	Professional		$1,740.40	$2,262.52	$2,262.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $1,503.13 / $1,503.13	Professional		$163.71	$1,503.13	$1,503.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.01 / $2,002.52 / $2,745.10	Professional		$1,617.01	$2,002.52	$2,745.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.69 / $1,353.69 / $2,240.58	Professional		$1,009.69	$1,353.69	$2,240.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,487.58 / $1,489.50 / $1,578.62	Professional		$1,487.58	$1,489.50	$1,578.62