Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,258.93	Professional		$630.96	$776.25	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,023.29	Professional		$812.83	$812.83	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Professional		$724.44	$724.44	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,238.72	Professional		$1,047.13	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,047.13	Facility		$891.25	$1,023.29	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,148.15	Professional		$660.69	$758.58	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,047.13	Professional		$812.83	$954.99	$1,047.13