Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.94 / $906.79 / $1,407.98	Professional		$782.94	$906.79	$1,407.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $948.23 / $1,001.49 / $1,121.67	Professional		$948.23	$1,001.49	$1,121.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,335.00 / $8,344.40	Facility		$641.21	$1,335.00	$8,344.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.33 / $1,121.11 / $2,007.02	Professional		$788.33	$1,121.11	$2,007.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.41 / $1,201.18 / $1,805.24	Professional		$930.41	$1,201.18	$1,805.24
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 $678.68 / $938.28 / $1,685.42	Professional		$678.68	$938.28	$1,685.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $800.93 / $1,070.82 / $1,315.10	Professional		$800.93	$1,070.82	$1,315.10