Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.76 / $733.88 / $784.94	Professional		$626.76	$733.88	$784.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $839.25 / $923.18	Professional		$725.00	$839.25	$923.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.65 / $969.10 / $1,614.17	Professional		$667.65	$969.10	$1,614.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.09 / $965.04 / $1,384.97	Professional		$748.09	$965.04	$1,384.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.48 / $830.22 / $1,438.65	Professional		$570.48	$830.22	$1,438.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.07 / $860.30 / $1,056.38	Professional		$705.07	$860.30	$1,056.38