Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $787.50 / $861.00	Professional		$693.00	$787.50	$861.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $945.00 / $1,077.30	Professional		$840.00	$945.00	$1,077.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.60 / $558.60 / $558.60	Facility		$558.60	$558.60	$558.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.50 / $746.63 / $2,581.01	Professional		$556.50	$746.63	$2,581.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,312.50 / $1,575.00	Professional		$1,050.00	$1,312.50	$1,575.00
United Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Facility		$441.00	$441.00	$441.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $472.50 / $945.00	Professional		$437.79	$472.50	$945.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.50 / $420.00 / $525.00	Professional		$409.50	$420.00	$525.00