Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.50 / $732.78 / $898.22	Professional		$720.50	$732.78	$898.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $667.66 / $741.85 / $853.13	Professional		$667.66	$741.85	$853.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.17 / $853.63 / $1,485.44	Professional		$686.17	$853.63	$1,485.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.03 / $1,068.51 / $1,782.40	Professional		$904.03	$1,068.51	$1,782.40
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 $622.50 / $855.94 / $1,647.30	Professional		$622.50	$855.94	$1,647.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $570.52 / $971.37 / $1,049.47	Professional		$570.52	$971.37	$1,049.47