Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.34 / $515.83 / $618.83	Professional		$408.34	$515.83	$618.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $621.00 / $745.20 / $745.20	Professional		$621.00	$745.20	$745.20
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 $686.79 / $809.67 / $1,076.85	Professional		$686.79	$809.67	$1,076.85
United Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $613.91 / $863.60	Professional		$434.40	$613.91	$863.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.08 / $611.08 / $611.10	Professional		$611.08	$611.08	$611.10