Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.94 / $818.01 / $818.01	Professional		$753.94	$818.01	$818.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $769.91 / $855.46 / $983.78	Professional		$769.91	$855.46	$983.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.69 / $859.90 / $1,392.18	Professional		$689.69	$859.90	$1,392.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.96 / $976.60 / $1,775.64	Professional		$839.96	$976.60	$1,775.64
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 $600.04 / $781.70 / $1,505.07	Professional		$600.04	$781.70	$1,505.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.37 / $887.82 / $965.95	Professional		$626.37	$887.82	$965.95