Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.74 / $692.67 / $3,424.75	Professional		$661.74	$692.67	$3,424.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $702.52 / $717.04 / $802.98	Professional		$702.52	$717.04	$802.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.24 / $933.75 / $2,031.12	Professional		$636.24	$933.75	$2,031.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.89 / $892.28 / $1,429.70	Professional		$670.89	$892.28	$1,429.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $770.06 / $1,345.76	Professional		$577.53	$770.06	$1,345.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.26 / $771.52 / $958.72	Professional		$526.26	$771.52	$958.72