Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $317.41 / $486.79	Professional		$266.39	$317.41	$486.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $347.00 / $442.50	Professional		$347.00	$347.00	$442.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $499.82	Professional		$364.87	$364.87	$499.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $647.30 / $932.13	Professional		$453.12	$647.30	$932.13
United Facility/Professional Facility Modifier Low / Median / High Price $222.75 / $433.66 / $445.50	Facility		$222.75	$433.66	$445.50
United Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $334.05 / $512.09	Professional		$289.10	$334.05	$512.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $350.66 / $453.12	Professional		$350.66	$350.66	$453.12