Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $3,338.58 / $3,989.62	Facility		$591.75	$3,338.58	$3,989.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $349.20 / $770.31	Professional		$132.91	$349.20	$770.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $163.86 / $180.25	Professional		$143.11	$163.86	$180.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $668.69	Facility		$330.00	$339.05	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $353.18 / $737.77	Professional		$146.90	$353.18	$737.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.52 / $470.23 / $675.88	Professional		$364.52	$470.23	$675.88
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $501.62 / $833.11	Professional		$304.02	$501.62	$833.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.52 / $419.20 / $516.17	Professional		$364.52	$419.20	$516.17