Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.65 / $630.02 / $945.38	Professional		$605.65	$630.02	$945.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.98 / $749.98 / $836.43	Professional		$749.98	$749.98	$836.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $200.00	Professional		$170.00	$170.00	$200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.29 / $1,272.39 / $1,692.28	Professional		$1,079.29	$1,272.39	$1,692.28
United Facility/Professional Professional Modifier Low / Median / High Price $485.86 / $663.43 / $1,036.58	Professional		$485.86	$663.43	$1,036.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $862.69 / $1,041.84	Professional		$781.38	$862.69	$1,041.84