Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.49 / $878.33 / $932.81	Professional		$770.49	$878.33	$932.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $800.36 / $889.29 / $1,129.40	Professional		$800.36	$889.29	$1,129.40
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 $794.50 / $1,115.59 / $2,002.35	Professional		$794.50	$1,115.59	$2,002.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.73 / $1,178.71 / $1,556.08	Professional		$913.73	$1,178.71	$1,556.08
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 $677.80 / $929.72 / $1,631.26	Professional		$677.80	$929.72	$1,631.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $778.35 / $1,050.79 / $1,290.32	Professional		$778.35	$1,050.79	$1,290.32