Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,288.25	Professional		$467.74	$575.44	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $630.96	Professional		$467.74	$524.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,258.93	Professional		$446.68	$602.56	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $977.24	Professional		$512.86	$575.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,047.13	Professional		$398.11	$575.44	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $758.58	Professional		$398.11	$588.84	$758.58