Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.69 / $680.51 / $952.43	Professional		$518.69	$680.51	$952.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $888.93 / $888.93 / $991.41	Professional		$888.93	$888.93	$991.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $849.46 / $999.36	Professional		$849.46	$849.46	$999.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,087.57 / $1,282.15 / $1,705.26	Professional		$1,087.57	$1,282.15	$1,705.26
United Facility/Professional Professional Modifier Low / Median / High Price $447.18 / $668.41 / $1,007.49	Professional		$447.18	$668.41	$1,007.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $877.98 / $1,232.76	Professional		$694.20	$877.98	$1,232.76