Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,258.93	Professional		$562.34	$707.95	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $851.14	Professional		$575.44	$630.96	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,445.44	Professional		$537.03	$758.58	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,148.15	Professional		$562.34	$630.96	$1,148.15
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 $524.81 / $741.31 / $1,288.25	Professional		$524.81	$741.31	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $870.96	Professional		$501.19	$645.65	$870.96