Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,172.53 / $1,248.07	Professional		$807.50	$1,172.53	$1,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $1,053.78 / $1,053.78	Professional		$850.00	$1,053.78	$1,053.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,205.38	Facility		$485.00	$513.90	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.90 / $1,044.67 / $1,732.19	Professional		$763.90	$1,044.67	$1,732.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.06 / $1,145.47 / $1,494.09	Professional		$996.06	$1,145.47	$1,494.09
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.87 / $909.36 / $1,697.48	Professional		$696.87	$909.36	$1,697.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.33 / $1,046.17 / $1,145.47	Professional		$755.33	$1,046.17	$1,145.47