Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.44 / $1,214.63 / $1,944.79	Facility		$908.44	$1,214.63	$1,944.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.27 / $1,214.63 / $1,402.50	Professional		$951.27	$1,214.63	$1,402.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,311.80 / $1,311.80	Professional		$1,166.05	$1,311.80	$1,311.80
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,238.93	Professional		$485.85	$1,214.63	$1,238.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,101.64 / $1,101.64 / $1,297.23	Professional		$1,101.64	$1,101.64	$1,297.23