Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.36 / $610.91 / $660.40	Professional		$522.36	$610.91	$660.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $621.16 / $641.41 / $758.24	Professional		$621.16	$641.41	$758.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,889.67	Facility		$445.00	$453.73	$1,889.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.15 / $788.71 / $1,401.29	Professional		$550.15	$788.71	$1,401.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.47 / $812.02 / $1,182.38	Professional		$629.47	$812.02	$1,182.38
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 $465.81 / $694.40 / $1,282.98	Professional		$465.81	$694.40	$1,282.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $563.02 / $723.89 / $888.97	Professional		$563.02	$723.89	$888.97