Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.49 / $429.58 / $769.95	Professional		$360.49	$429.58	$769.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.94 / $439.65 / $493.10	Professional		$330.94	$439.65	$493.10
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 $369.47 / $523.33 / $1,005.70	Professional		$369.47	$523.33	$1,005.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.16 / $616.83 / $817.18	Professional		$478.16	$616.83	$817.18
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $406.08	Facility		$36.00	$41.00	$406.08
United Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $452.14 / $902.90	Professional		$313.02	$452.14	$902.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.61 / $549.88 / $675.63	Professional		$366.61	$549.88	$675.63