Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.36 / $1,008.73 / $1,660.48	Professional		$869.36	$1,008.73	$1,660.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,185.81 / $1,185.81 / $1,452.04	Professional		$1,185.81	$1,185.81	$1,452.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,327.28	Professional		$968.91	$968.91	$1,327.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.88 / $2,124.12 / $3,058.73	Professional		$1,486.88	$2,124.12	$3,058.73
United Facility/Professional Professional Modifier Low / Median / High Price $818.01 / $1,059.70 / $1,689.16	Professional		$818.01	$1,059.70	$1,689.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,272.56 / $1,272.56 / $1,486.88	Professional		$1,272.56	$1,272.56	$1,486.88