Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.94 / $786.94 / $786.94	Facility		$786.94	$786.94	$786.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.69 / $416.90 / $689.60	Professional		$309.69	$416.90	$689.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.57 / $428.80 / $664.64	Professional		$333.57	$428.80	$664.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $392.68 / $392.68	Facility		$392.68	$392.68	$392.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $433.87 / $751.68	Professional		$323.79	$433.87	$751.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $405.56 / $581.64	Professional		$317.11	$405.56	$581.64
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $150.00	Facility		$36.00	$36.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.94 / $391.18 / $661.35	Professional		$292.94	$391.18	$661.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $405.56 / $474.29	Professional		$273.91	$405.56	$474.29