Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.03 / $900.30 / $1,640.84	Professional		$781.03	$900.30	$1,640.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $888.01 / $912.48 / $1,010.58	Professional		$888.01	$912.48	$1,010.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $4,194.87	Facility		$627.00	$641.21	$4,194.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.84 / $1,127.21 / $2,028.04	Professional		$804.84	$1,127.21	$2,028.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $922.79 / $1,190.40 / $1,570.26	Professional		$922.79	$1,190.40	$1,570.26
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.78 / $977.99 / $1,823.78	Professional		$706.78	$977.99	$1,823.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $782.35 / $1,061.21 / $1,303.47	Professional		$782.35	$1,061.21	$1,303.47