Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.89 / $647.64 / $692.64	Professional		$561.89	$647.64	$692.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $605.80 / $605.80 / $706.08	Professional		$605.80	$605.80	$706.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $791.44	Facility		$445.00	$453.73	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.24 / $790.22 / $1,478.36	Professional		$551.24	$790.22	$1,478.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.17 / $864.52 / $1,148.80	Professional		$670.17	$864.52	$1,148.80
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $471.00 / $701.00	Facility		$215.00	$471.00	$701.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.83 / $676.31 / $1,324.03	Professional		$477.83	$676.31	$1,324.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $534.17 / $770.70 / $946.47	Professional		$534.17	$770.70	$946.47