Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $803.50 / $999.47	Professional		$727.54	$803.50	$999.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $833.76 / $1,058.88	Professional		$765.00	$833.76	$1,058.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,316.51	Facility		$507.00	$518.54	$1,316.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.72 / $1,133.75 / $2,021.20	Professional		$749.72	$1,133.75	$2,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.10 / $1,065.67 / $1,395.97	Professional		$826.10	$1,065.67	$1,395.97
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.98 / $961.24 / $1,746.72	Professional		$697.98	$961.24	$1,746.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $826.10 / $950.02 / $1,183.91	Professional		$826.10	$950.02	$1,183.91