Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.80 / $187.80 / $187.80	Facility		$187.80	$187.80	$187.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.81 / $514.27 / $710.34	Professional		$381.81	$514.27	$710.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.97 / $463.64 / $542.84	Professional		$462.97	$463.64	$542.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $585.77 / $979.58	Professional		$428.00	$585.77	$979.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.17 / $725.35 / $1,198.30	Professional		$610.17	$725.35	$1,198.30
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $2,962.56	Facility		$450.00	$450.00	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $468.62 / $574.54 / $1,093.05	Professional		$468.62	$574.54	$1,093.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $477.81 / $706.86	Professional		$461.16	$477.81	$706.86