Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $954.99	Professional		$524.81	$724.44	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,348.96	Facility		$794.33	$794.33	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Professional		$676.08	$676.08	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,905.46	Professional		$1,174.90	$1,445.44	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $363.08 / $812.83	Facility		$40.74	$363.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,071.52	Professional		$446.68	$676.08	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,148.15	Professional		$758.58	$758.58	$1,148.15