Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $547.05 / $602.61	Professional		$468.54	$547.05	$602.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $595.04 / $595.04 / $755.71	Professional		$595.04	$595.04	$755.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.60 / $732.70 / $1,250.64	Professional		$509.60	$732.70	$1,250.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.50 / $750.14 / $1,046.01	Professional		$581.50	$750.14	$1,046.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.62 / $612.38 / $1,168.42	Professional		$421.62	$612.38	$1,168.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $516.03 / $668.72 / $821.24	Professional		$516.03	$668.72	$821.24