Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $871.37 / $871.37	Facility		$871.37	$871.37	$871.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,105.53	Professional		$1,052.89	$1,052.89	$1,105.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.79 / $277.79 / $277.79	Professional		$277.79	$277.79	$277.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,340.94	Professional		$1,052.89	$1,052.89	$1,340.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.96 / $897.54 / $1,052.89	Professional		$894.96	$897.54	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,095.43	Professional		$1,052.89	$1,052.89	$1,095.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $300.18 / $1,379.29	Professional		$300.18	$300.18	$1,379.29