Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $2,532.28 / $5,469.38	Facility		$51.82	$2,532.28	$5,469.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.33 / $471.20 / $1,987.00	Professional		$394.33	$471.20	$1,987.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $429.19 / $440.71 / $559.70	Professional		$429.19	$440.71	$559.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,134.73 / $1,335.00	Facility		$641.21	$1,134.73	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.61 / $625.55 / $1,152.08	Professional		$427.61	$625.55	$1,152.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.32 / $613.20 / $914.83	Professional		$472.32	$613.20	$914.83
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $504.01 / $856.51	Professional		$364.07	$504.01	$856.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.35 / $546.65 / $669.00	Professional		$475.35	$546.65	$669.00