Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $474.82 / $661.45	Professional		$404.06	$474.82	$661.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $421.52 / $468.35 / $749.36	Professional		$421.52	$468.35	$749.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.00 / $2,841.35 / $4,037.70	Facility		$395.00	$2,841.35	$4,037.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $531.47 / $975.65	Professional		$394.24	$531.47	$975.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.43 / $507.89 / $896.62	Professional		$406.43	$507.89	$896.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,541.00 / $2,156.00 / $6,125.00	Facility		$1,541.00	$2,156.00	$6,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.30 / $494.55 / $879.46	Professional		$362.30	$494.55	$879.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $497.60 / $609.65	Professional		$358.33	$497.60	$609.65