Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.96 / $663.71 / $1,779.41	Professional		$469.96	$663.71	$1,779.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $532.64 / $551.17 / $718.56	Professional		$532.64	$551.17	$718.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $507.00 / $641.21	Facility		$117.19	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.51 / $846.03 / $1,555.18	Professional		$494.51	$846.03	$1,555.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.25 / $920.09 / $1,216.19	Professional		$713.25	$920.09	$1,216.19
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $756.28 / $1,438.40	Professional		$514.79	$756.28	$1,438.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $502.64 / $820.24 / $1,019.31	Professional		$502.64	$820.24	$1,019.31