Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $2,344.23	Professional		$691.83	$891.25	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,122.02	Professional		$758.58	$933.25	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,137.96	Professional		$758.58	$1,096.48	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,445.44	Professional		$758.58	$870.96	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,621.81	Professional		$707.95	$977.24	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,148.15	Professional		$794.33	$977.24	$1,148.15