Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.33 / $586.23 / $1,095.95	Professional		$442.33	$586.23	$1,095.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.96 / $493.63 / $589.37	Professional		$491.96	$493.63	$589.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,018.46	Facility		$424.00	$449.41	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.65 / $552.47 / $1,038.69	Professional		$414.65	$552.47	$1,038.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.75 / $687.27 / $896.45	Professional		$567.75	$687.27	$896.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.11 / $570.91 / $1,153.56	Professional		$441.11	$570.91	$1,153.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $625.55 / $687.27	Professional		$365.60	$625.55	$687.27