Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $549.54	Professional		$257.04	$316.23	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $416.87	Professional		$331.13	$331.13	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Professional		$275.42	$275.42	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $912.01	Professional		$426.58	$602.56	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $457.09	Facility		$398.11	$446.68	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $467.74	Professional		$269.15	$309.03	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Professional		$363.08	$363.08	$512.86