Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $863.29 / $1,585.72	Professional		$628.04	$863.29	$1,585.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.88 / $769.43 / $815.00	Professional		$766.88	$769.43	$815.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $722.49 / $1,575.38	Facility		$682.00	$722.49	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $769.44 / $1,277.08	Professional		$570.42	$769.44	$1,277.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.42 / $849.18 / $1,107.63	Professional		$738.42	$849.18	$1,107.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.29 / $675.18 / $1,340.39	Professional		$516.29	$675.18	$1,340.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $568.91 / $776.11 / $849.18	Professional		$568.91	$776.11	$849.18