Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $741.31	Professional		$457.09	$524.81	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $851.14	Professional		$660.69	$660.69	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $870.96	Facility		$575.44	$575.44	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $489.78 / $575.44	Professional		$75.86	$489.78	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,096.48	Professional		$645.65	$831.76	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $758.58	Facility		$54.95	$97.72	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $741.31	Professional		$46.77	$97.72	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $676.08	Professional		$616.60	$676.08	$676.08