Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,548.82	Professional		$446.68	$645.65	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $630.96	Professional		$446.68	$501.19	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,479.11	Professional		$467.74	$724.44	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,148.15	Professional		$588.84	$794.33	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,148.15	Professional		$426.58	$660.69	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $891.25 / $1,047.13	Professional		$416.87	$891.25	$1,047.13