Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $2,107.42 / $5,407.97	Facility		$40.96	$2,107.42	$5,407.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.08 / $760.74 / $1,728.68	Professional		$557.08	$760.74	$1,728.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $625.66 / $695.17 / $799.45	Professional		$625.66	$695.17	$799.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $753.61 / $1,294.84	Professional		$592.91	$753.61	$1,294.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.56 / $974.99 / $1,563.26	Professional		$791.56	$974.99	$1,563.26
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 $583.16 / $754.39 / $1,419.26	Professional		$583.16	$754.39	$1,419.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $606.64 / $690.31 / $914.09	Professional		$606.64	$690.31	$914.09