Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Professional		$660.69	$660.69	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $1,513.56	Professional		$131.83	$186.21	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,659.59	Professional		$125.89	$1,023.29	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17