Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $1,178.41 / $1,256.11	Professional		$798.50	$1,178.41	$1,256.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $986.75 / $1,018.99 / $1,105.86	Professional		$986.75	$1,018.99	$1,105.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,018.46	Facility		$485.00	$513.90	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.65 / $1,004.57 / $1,727.74	Professional		$759.65	$1,004.57	$1,727.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.18 / $1,147.91 / $1,497.27	Professional		$998.18	$1,147.91	$1,497.27
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 $687.10 / $893.14 / $1,767.43	Professional		$687.10	$893.14	$1,767.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $730.85 / $1,048.08 / $1,147.91	Professional		$730.85	$1,048.08	$1,147.91