Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.25 / $1,074.82 / $1,115.50	Professional		$845.25	$1,074.82	$1,115.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $335.00 / $405.35	Professional		$335.00	$335.00	$405.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $1,075.73 / $2,239.58	Professional		$465.97	$1,075.73	$2,239.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.13 / $1,066.06 / $1,841.57	Professional		$824.13	$1,066.06	$1,841.57
United Facility/Professional Professional Modifier Low / Median / High Price $281.37 / $393.95 / $756.23	Professional		$281.37	$393.95	$756.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $102.73 / $102.73	Professional		$102.73	$102.73	$102.73