Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $890.45 / $945.37	Professional		$634.82	$890.45	$945.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $793.73 / $799.71 / $2,540.51	Professional		$793.73	$799.71	$2,540.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $634.82 / $1,205.38	Facility		$599.00	$634.82	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $811.41 / $1,317.03	Professional		$596.21	$811.41	$1,317.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.42 / $875.63 / $1,142.13	Professional		$761.42	$875.63	$1,142.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $4,561.46	Facility		$1,009.00	$1,009.00	$4,561.46
United Facility/Professional Professional Modifier Low / Median / High Price $548.74 / $701.10 / $1,390.88	Professional		$548.74	$701.10	$1,390.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $800.24 / $875.63	Professional		$592.82	$800.24	$875.63