Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $616.44 / $842.85	Professional		$505.20	$616.44	$842.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.02 / $841.02 / $841.02	Professional		$841.02	$841.02	$841.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $542.66	Facility		$542.66	$542.66	$542.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $461.26 / $542.66	Professional		$396.14	$461.26	$542.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.06 / $1,033.79 / $1,240.55	Professional		$804.06	$1,033.79	$1,240.55
United Facility/Professional Professional Modifier Low / Median / High Price $542.87 / $654.70 / $1,027.19	Professional		$542.87	$654.70	$1,027.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.95 / $808.95 / $928.46	Professional		$808.95	$808.95	$928.46