Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,000.00	Professional		$630.96	$758.58	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $870.96	Professional		$691.83	$758.58	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,230.27	Facility		$630.96	$660.69	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,348.96	Professional		$501.19	$1,096.48	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,412.54	Professional		$912.01	$1,000.00	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $954.99	Facility		$398.11	$446.68	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $912.01	Professional		$398.11	$446.68	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,412.54	Professional		$371.54	$478.63	$1,412.54