Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $758.58	Professional		$398.11	$489.78	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $588.84	Professional		$398.11	$446.68	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $1,023.29	Professional		$380.19	$512.86	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $812.83	Professional		$389.05	$436.52	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $870.96	Professional		$354.81	$489.78	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $602.56	Professional		$331.13	$446.68	$602.56