Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.79 / $473.37 / $715.95	Professional		$259.79	$473.37	$715.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.87 / $281.04 / $740.65	Professional		$279.87	$281.04	$740.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $669.90 / $1,200.92	Professional		$263.43	$669.90	$1,200.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.02 / $496.68 / $1,195.45	Professional		$385.02	$496.68	$1,195.45
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 $526.25 / $735.86 / $1,251.08	Professional		$526.25	$735.86	$1,251.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.02 / $442.77 / $550.46	Professional		$385.02	$442.77	$550.46