Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $359.70 / $850.09	Professional		$285.41	$359.70	$850.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.46 / $361.46 / $445.00	Professional		$361.46	$361.46	$445.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $791.44	Facility		$507.00	$518.54	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.55 / $467.42 / $821.82	Professional		$317.55	$467.42	$821.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.78 / $492.48 / $639.63	Professional		$379.78	$492.48	$639.63
United Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $158.00 / $3,200.82	Facility		$112.00	$158.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $394.47 / $692.12	Professional		$278.70	$394.47	$692.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $439.04 / $538.89	Professional		$317.20	$439.04	$538.89