Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $555.00 / $562.50	Professional		$495.00	$555.00	$562.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $600.00 / $816.00	Professional		$540.00	$600.00	$816.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $397.50 / $397.50	Facility		$397.50	$397.50	$397.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $937.50 / $1,125.00	Professional		$750.00	$937.50	$1,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $356.25 / $682.49	Professional		$315.00	$356.25	$682.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $336.26 / $420.33	Professional		$327.85	$336.26	$420.33