Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,621.81	Professional		$977.24	$1,230.27	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $2,290.87	Facility		$169.82	$1,071.52	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $912.01 / $1,071.52	Professional		$169.82	$912.01	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,818.38	Professional		$1,737.80	$2,187.76	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $602.56 / $1,148.15	Facility		$74.13	$602.56	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,905.46	Professional		$812.83	$1,174.90	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Professional		$1,479.11	$1,479.11	$1,949.84