Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $794.33	Professional		$489.78	$602.56	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $691.83	Professional		$537.03	$602.56	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,122.02	Professional		$707.95	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $758.58	Facility		$316.23	$354.81	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $724.44	Professional		$316.23	$354.81	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $1,122.02	Professional		$10.47	$13.49	$1,122.02