Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $347.16 / $380.22	Professional		$302.70	$347.16	$380.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $359.80 / $372.75 / $462.21	Professional		$359.80	$372.75	$462.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $1,490.90	Facility		$330.00	$339.05	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $450.01 / $792.80	Professional		$308.47	$450.01	$792.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.85 / $478.40 / $787.62	Professional		$370.85	$478.40	$787.62
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $382.59 / $693.40	Professional		$264.72	$382.59	$693.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $426.48 / $523.58	Professional		$306.75	$426.48	$523.58