Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.28 / $1,218.30 / $2,124.11	Professional		$962.28	$1,218.30	$2,124.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,294.53 / $1,579.10	Professional		$1,239.00	$1,294.53	$1,579.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $1,964.43	Professional		$1,434.03	$1,434.03	$1,964.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.99 / $2,309.98 / $3,326.39	Professional		$1,616.99	$2,309.98	$3,326.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.54 / $1,215.19 / $1,827.45	Professional		$1,040.54	$1,215.19	$1,827.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,397.80 / $1,397.80 / $1,616.99	Professional		$1,397.80	$1,397.80	$1,616.99