Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.34 / $929.09 / $929.09	Professional		$873.34	$929.09	$929.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.28 / $1,219.28 / $1,402.17	Professional		$1,219.28	$1,219.28	$1,402.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.39 / $1,003.52 / $1,604.65	Professional		$798.39	$1,003.52	$1,604.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.06 / $1,103.54 / $2,006.44	Professional		$953.06	$1,103.54	$2,006.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.64 / $917.28 / $1,576.89	Professional		$697.64	$917.28	$1,576.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $185.00 / $185.00	Professional		$185.00	$185.00	$185.00