Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.43 / $400.50 / $775.77	Professional		$350.43	$400.50	$775.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $403.00 / $513.64	Professional		$403.00	$403.00	$513.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $644.36	Professional		$470.38	$470.38	$644.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.97 / $751.38 / $1,081.99	Professional		$525.97	$751.38	$1,081.99
United Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $401.64 / $594.41	Professional		$351.44	$401.64	$594.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.39 / $455.39 / $525.97	Professional		$455.39	$455.39	$525.97