Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.08 / $3,513.71 / $8,489.92	Facility		$420.08	$3,513.71	$8,489.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.53 / $540.46 / $1,761.00	Professional		$396.53	$540.46	$1,761.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $425.49 / $1,120.00	Professional		$422.79	$425.49	$1,120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.03 / $2,659.03 / $2,659.03	Facility		$2,659.03	$2,659.03	$2,659.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.85 / $574.86 / $1,199.58	Professional		$389.85	$574.86	$1,199.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.07 / $528.10 / $845.59	Professional		$397.07	$528.10	$845.59
United Facility/Professional Professional Modifier Low / Median / High Price $362.85 / $518.87 / $785.83	Professional		$362.85	$518.87	$785.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.19 / $456.63 / $568.52	Professional		$374.19	$456.63	$568.52