Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $741.31	Professional		$407.38	$537.03	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $512.86	Professional		$416.87	$467.74	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $338.84	Facility		$229.09	$269.15	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,000.00	Professional		$363.08	$467.74	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $812.83	Professional		$478.63	$562.34	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $851.14	Professional		$323.59	$426.58	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $691.83	Professional		$371.54	$512.86	$691.83