Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,884.03	Professional		$1,819.70	$2,290.87	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,467.37	Facility		$2,691.53	$2,691.53	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,235.94	Professional		$2,290.87	$2,290.87	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $4,570.88	Professional		$2,951.21	$3,890.45	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,258.93 / $2,454.71	Facility		$141.25	$1,258.93	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,467.37	Professional		$1,548.82	$2,089.30	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,467.37	Professional		$2,818.38	$2,818.38	$3,467.37