Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $476.26 / $772.26	Professional		$413.55	$476.26	$772.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $484.48 / $510.24 / $571.47	Professional		$484.48	$510.24	$571.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $3,314.62	Facility		$715.00	$728.96	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.89 / $590.58 / $1,073.99	Professional		$419.89	$590.58	$1,073.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $646.54 / $847.70	Professional		$501.20	$646.54	$847.70
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.66 / $493.69 / $898.11	Professional		$360.66	$493.69	$898.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.89 / $576.38 / $707.69	Professional		$404.89	$576.38	$707.69