Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.02 / $581.63 / $744.60	Professional		$477.02	$581.63	$744.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.96 / $694.96 / $775.11	Professional		$694.96	$694.96	$775.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $363.97 / $428.20	Professional		$363.97	$363.97	$428.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.06 / $1,002.15 / $1,332.86	Professional		$850.06	$1,002.15	$1,332.86
United Facility/Professional Professional Modifier Low / Median / High Price $381.41 / $522.59 / $816.74	Professional		$381.41	$522.59	$816.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $681.00 / $961.86	Professional		$615.49	$681.00	$961.86