Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.93 / $817.48 / $900.67	Professional		$675.93	$817.48	$900.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $788.76 / $876.40 / $1,113.03	Professional		$788.76	$876.40	$1,113.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.44 / $989.70 / $1,824.61	Professional		$634.44	$989.70	$1,824.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.14 / $1,092.97 / $1,425.07	Professional		$846.14	$1,092.97	$1,425.07
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $774.42 / $1,536.33	Professional		$471.24	$774.42	$1,536.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $974.35 / $1,196.40	Professional		$645.54	$974.35	$1,196.40