Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $424.58 / $596.97	Professional		$305.33	$424.58	$596.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.27 / $302.52 / $414.47	Professional		$272.27	$302.52	$414.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $352.84 / $629.00	Facility		$302.83	$352.84	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $463.05 / $852.99	Professional		$297.19	$463.05	$852.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.40 / $569.10 / $838.19	Professional		$408.40	$569.10	$838.19
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.50 / $491.40 / $926.24	Professional		$334.50	$491.40	$926.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.61 / $562.17 / $691.61	Professional		$321.61	$562.17	$691.61