Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.63 / $855.41 / $1,456.62	Professional		$762.63	$855.41	$1,456.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.23 / $1,040.23 / $1,273.76	Professional		$1,040.23	$1,040.23	$1,273.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,108.41	Professional		$809.14	$809.14	$1,108.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.33 / $1,863.33 / $2,683.20	Professional		$1,304.33	$1,863.33	$2,683.20
United Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $929.60 / $1,481.77	Professional		$787.74	$929.60	$1,481.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,046.64 / $1,046.64 / $1,304.33	Professional		$1,046.64	$1,046.64	$1,304.33