Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $426.41 / $470.47	Professional		$357.92	$426.41	$470.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $376.08 / $430.76 / $473.84	Professional		$376.08	$430.76	$473.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $791.44	Facility		$330.00	$339.05	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.03 / $539.82 / $1,026.52	Professional		$372.03	$539.82	$1,026.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.20 / $610.42 / $807.09	Professional		$473.20	$610.42	$807.09
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $508.85 / $935.73	Professional		$337.30	$508.85	$935.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.29 / $544.17 / $668.61	Professional		$374.29	$544.17	$668.61