Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.83 / $745.09 / $893.87	Professional		$589.83	$745.09	$893.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $974.16 / $974.16	Professional		$811.80	$974.16	$974.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $306.77 / $360.90	Professional		$306.77	$306.77	$360.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.03 / $1,169.52 / $1,555.47	Professional		$992.03	$1,169.52	$1,555.47
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $879.75 / $1,353.46	Professional		$645.65	$879.75	$1,353.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.70 / $961.00 / $961.00	Professional		$676.70	$961.00	$961.00