Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $645.65	Facility		$588.84	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $724.44	Professional		$575.44	$616.60	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $676.08	Professional		$478.63	$575.44	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $724.44 / $724.44	Facility		$676.08	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Professional		$676.08	$676.08	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89