Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.57 / $2,938.42 / $5,684.69	Facility		$962.57	$2,938.42	$5,684.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.39 / $804.12 / $2,131.98	Professional		$681.39	$804.12	$2,131.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.68 / $694.68 / $798.88	Professional		$694.68	$694.68	$798.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.06 / $892.16 / $1,537.88	Professional		$716.06	$892.16	$1,537.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.03 / $963.40 / $1,751.64	Professional		$832.03	$963.40	$1,751.64
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.24 / $795.73 / $1,430.53	Professional		$629.24	$795.73	$1,430.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $642.92 / $875.82 / $958.94	Professional		$642.92	$875.82	$958.94