Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.15 / $951.28 / $1,514.14	Professional		$808.15	$951.28	$1,514.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,087.18	Professional		$1,040.00	$1,040.00	$1,087.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,254.96	Professional		$916.12	$916.12	$1,254.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.99 / $1,939.99 / $2,793.59	Professional		$1,357.99	$1,939.99	$2,793.59
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $873.88 / $987.19 / $1,534.72	Professional		$873.88	$987.19	$1,534.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,173.91 / $1,173.91 / $1,357.99	Professional		$1,173.91	$1,173.91	$1,357.99