Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $2,137.96	Professional		$645.65	$812.83	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $870.96	Professional		$501.19	$707.95	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $645.65	Facility		$331.13	$575.44	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,949.84	Professional		$616.60	$933.25	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Professional		$891.25	$1,047.13	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $707.95	Facility		$194.98	$436.52	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,548.82	Professional		$562.34	$812.83	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,412.54	Professional		$691.83	$1,071.52	$1,412.54