Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.82 / $1,528.82 / $4,964.49	Facility		$1,528.82	$1,528.82	$4,964.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $545.64 / $1,333.54	Professional		$432.63	$545.64	$1,333.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $500.72 / $556.36 / $751.61	Professional		$500.72	$556.36	$751.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.74 / $622.09 / $1,409.01	Professional		$459.74	$622.09	$1,409.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $731.53 / $1,209.50	Professional		$564.29	$731.53	$1,209.50
United Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $575.95 / $1,045.82	Professional		$423.23	$575.95	$1,045.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $652.14 / $792.68	Professional		$452.38	$652.14	$792.68