Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $390.45 / $524.48	Professional		$334.68	$390.45	$524.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $378.63 / $599.14	Professional		$340.77	$378.63	$599.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $599.00 / $2,530.00	Facility		$408.44	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.64 / $468.31 / $898.73	Professional		$330.64	$468.31	$898.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.70 / $439.43 / $608.91	Professional		$357.70	$439.43	$608.91
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $424.27 / $734.44	Professional		$302.27	$424.27	$734.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $311.95 / $311.95	Professional		$311.95	$311.95	$311.95