Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $452.30 / $480.12	Professional		$321.10	$452.30	$480.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $438.53 / $439.38	Professional		$320.00	$438.53	$439.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $485.00 / $513.90	Facility		$485.00	$485.00	$513.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $410.66 / $669.93	Professional		$300.64	$410.66	$669.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.24 / $443.03 / $577.86	Professional		$385.24	$443.03	$577.86
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $355.73 / $684.64	Professional		$277.77	$355.73	$684.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $299.82 / $404.99 / $443.03	Professional		$299.82	$404.99	$443.03