Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,047.13	Professional		$549.54	$660.69	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Professional		$707.95	$707.95	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,041.74	Professional		$954.99	$1,348.96	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $912.01	Facility		$407.38	$588.84	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,071.52	Professional		$549.54	$660.69	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,122.02	Professional		$724.44	$724.44	$1,122.02