Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $912.01	Professional		$302.00	$416.87	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $457.09	Professional		$288.40	$354.81	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,318.26	Facility		$512.86	$512.86	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $933.25	Professional		$302.00	$467.74	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $812.83	Professional		$467.74	$524.81	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $851.14 / $1,548.82	Facility		$302.00	$851.14	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $776.25	Professional		$281.84	$426.58	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $724.44	Professional		$407.38	$549.54	$724.44