Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.27 / $430.58 / $467.60	Professional		$372.27	$430.58	$467.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $453.67 / $453.67 / $690.00	Professional		$453.67	$453.67	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.58 / $553.14 / $976.09	Professional		$381.58	$553.14	$976.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.32 / $587.36 / $771.78	Professional		$455.32	$587.36	$771.78
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 $320.35 / $486.36 / $904.05	Professional		$320.35	$486.36	$904.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $523.62 / $643.11	Professional		$380.08	$523.62	$643.11