Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,582.69 / $3,136.96 / $5,722.23	Professional		$2,582.69	$3,136.96	$5,722.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,310.00 / $3,459.37 / $4,219.80	Professional		$3,310.00	$3,459.37	$4,219.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $4,865.01	Professional		$3,551.46	$3,551.46	$4,865.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,321.07 / $6,172.96 / $8,889.06	Professional		$4,321.07	$6,172.96	$8,889.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,780.63 / $3,185.56 / $4,883.43	Professional		$2,780.63	$3,185.56	$4,883.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,735.31 / $3,735.31 / $4,321.07	Professional		$3,735.31	$3,735.31	$4,321.07