Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.47 / $683.69 / $1,104.43	Professional		$549.47	$683.69	$1,104.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $705.34 / $705.34 / $917.74	Professional		$705.34	$705.34	$917.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $840.60	Professional		$613.64	$613.64	$840.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.76 / $1,342.52 / $1,933.23	Professional		$939.76	$1,342.52	$1,933.23
United Facility/Professional Professional Modifier Low / Median / High Price $541.80 / $669.77 / $1,067.60	Professional		$541.80	$669.77	$1,067.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $754.00 / $939.76	Professional		$450.00	$754.00	$939.76