Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.87 / $538.74 / $990.12	Professional		$496.87	$538.74	$990.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $529.21 / $604.89	Professional		$494.80	$529.21	$604.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.66 / $554.48 / $1,109.18	Professional		$412.66	$554.48	$1,109.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.33 / $584.79 / $957.89	Professional		$453.33	$584.79	$957.89
United Facility/Professional Professional Modifier Low / Median / High Price $391.95 / $523.82 / $981.23	Professional		$391.95	$523.82	$981.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.78 / $361.78 / $634.79	Professional		$361.78	$361.78	$634.79