Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,162.28	Professional		$1,584.89	$1,949.84	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,570.40	Professional		$2,041.74	$2,041.74	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Professional		$1,659.59	$1,659.59	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $5,623.41	Professional		$2,630.27	$3,715.35	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,570.40	Facility		$2,187.76	$2,511.89	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $2,884.03	Professional		$1,659.59	$1,905.46	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Professional		$2,041.74	$2,041.74	$3,090.30