Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $329.35 / $372.02	Professional		$284.25	$329.35	$372.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $379.68 / $417.65	Professional		$352.04	$379.68	$417.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,335.00 / $1,490.90	Facility		$641.21	$1,335.00	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $421.00 / $750.88	Professional		$306.31	$421.00	$750.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.07 / $449.01 / $661.73	Professional		$348.07	$449.01	$661.73
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $364.74 / $768.76	Professional		$258.70	$364.74	$768.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $308.81 / $400.28 / $500.64	Professional		$308.81	$400.28	$500.64