Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $397.92 / $479.84	Professional		$304.08	$397.92	$479.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.06 / $357.07 / $392.78	Professional		$289.06	$357.07	$392.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,316.51	Facility		$507.00	$518.54	$1,316.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.13 / $479.13 / $950.82	Professional		$315.13	$479.13	$950.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.14 / $603.90 / $802.82	Professional		$468.14	$603.90	$802.82
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $477.94 / $895.09	Professional		$335.12	$477.94	$895.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.21 / $538.36 / $664.80	Professional		$406.21	$538.36	$664.80