Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $851.14	Professional		$398.11	$467.74	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $676.08	Professional		$426.58	$467.74	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $741.31	Facility		$575.44	$602.56	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $891.25	Professional		$389.05	$524.81	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $660.69	Professional		$354.81	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $870.96	Professional		$354.81	$489.78	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $616.60	Professional		$371.54	$537.03	$616.60