Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $794.33	Professional		$281.84	$338.84	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $467.74	Professional		$338.84	$380.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,348.96	Facility		$645.65	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $758.58	Professional		$302.00	$416.87	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $616.60	Professional		$288.40	$323.59	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $1,621.81	Facility		$302.00	$524.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $660.69	Professional		$257.04	$363.08	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $436.52	Professional		$302.00	$354.81	$436.52