Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $402.96 / $520.76	Professional		$362.41	$402.96	$520.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $454.03 / $504.48 / $610.41	Professional		$454.03	$504.48	$610.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $563.04 / $1,036.94	Professional		$357.23	$563.04	$1,036.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $435.29 / $605.27	Professional		$304.70	$435.29	$605.27
United Facility/Professional Facility Modifier Low / Median / High Price $644.79 / $644.79 / $644.79	Facility		$644.79	$644.79	$644.79
United Facility/Professional Professional Modifier Low / Median / High Price $320.20 / $445.96 / $796.34	Professional		$320.20	$445.96	$796.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.02 / $476.42 / $596.72	Professional		$360.02	$476.42	$596.72