Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $377.23 / $404.90	Professional		$280.69	$377.23	$404.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $346.50 / $437.92	Professional		$265.00	$346.50	$437.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $3,314.62	Facility		$445.00	$453.73	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.44 / $421.25 / $850.19	Professional		$312.44	$421.25	$850.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.30 / $513.80 / $674.62	Professional		$398.30	$513.80	$674.62
United Facility/Professional Facility Modifier Low / Median / High Price $330.06 / $520.00 / $14,287.46	Facility		$330.06	$520.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $367.20 / $696.44	Professional		$246.06	$367.20	$696.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.66 / $458.04 / $562.65	Professional		$258.66	$458.04	$562.65