Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.43 / $788.68 / $876.29	Professional		$689.43	$788.68	$876.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $823.19 / $850.04 / $920.19	Professional		$823.19	$850.04	$920.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.30 / $1,026.34 / $1,782.16	Professional		$688.30	$1,026.34	$1,782.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.49 / $1,067.46 / $1,541.33	Professional		$827.49	$1,067.46	$1,541.33
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.35 / $863.06 / $1,496.51	Professional		$588.35	$863.06	$1,496.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $951.61 / $1,168.65	Professional		$632.22	$951.61	$1,168.65