Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.39 / $683.82 / $2,075.53	Facility		$205.39	$683.82	$2,075.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $483.90 / $1,000.41	Professional		$171.20	$483.90	$1,000.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $194.44 / $301.38	Professional		$191.26	$194.44	$301.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $909.33 / $1,530.89	Facility		$508.00	$909.33	$1,530.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $386.00 / $1,079.71	Professional		$175.41	$386.00	$1,079.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.55 / $702.98 / $1,116.66	Professional		$390.55	$702.98	$1,116.66
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.82 / $577.26 / $1,159.02	Professional		$171.82	$577.26	$1,159.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $688.71 / $848.28	Professional		$442.47	$688.71	$848.28