Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $630.96	Professional		$338.84	$398.11	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,148.15	Professional		$537.03	$758.58	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $575.44	Facility		$489.78	$562.34	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $588.84	Professional		$338.84	$389.05	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96