Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.54 / $741.13 / $859.61	Professional		$657.54	$741.13	$859.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $685.38 / $685.38 / $783.39	Professional		$685.38	$685.38	$783.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,258.00 / $3,258.00 / $3,258.00	Facility		$3,258.00	$3,258.00	$3,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.74 / $1,007.57 / $1,681.69	Professional		$653.74	$1,007.57	$1,681.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.85 / $961.20 / $1,135.28	Professional		$756.85	$961.20	$1,135.28
United Facility/Professional Professional Modifier Low / Median / High Price $603.61 / $873.11 / $1,753.19	Professional		$603.61	$873.11	$1,753.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.38 / $969.83 / $1,077.58	Professional		$870.38	$969.83	$1,077.58