Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,479.11	Professional		$575.44	$724.44	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $977.24	Professional		$758.58	$758.58	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,137.96	Professional		$1,000.00	$1,412.54	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,023.29	Facility		$457.09	$660.69	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,122.02	Professional		$602.56	$691.83	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,202.26	Professional		$794.33	$794.33	$1,202.26