Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.47 / $586.64 / $2,951.65	Professional		$566.47	$586.64	$2,951.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $605.20 / $612.92 / $960.00	Professional		$605.20	$612.92	$960.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,040.18 / $5,040.18 / $5,040.18	Facility		$5,040.18	$5,040.18	$5,040.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $773.76 / $1,720.03	Professional		$559.54	$773.76	$1,720.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.05 / $759.51 / $1,214.88	Professional		$571.05	$759.51	$1,214.88
United Facility/Professional Professional Modifier Low / Median / High Price $490.61 / $687.79 / $1,271.77	Professional		$490.61	$687.79	$1,271.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.35 / $656.72 / $817.34	Professional		$449.35	$656.72	$817.34