Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.82 / $415.37 / $452.26	Professional		$361.82	$415.37	$452.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $425.94 / $478.70	Professional		$385.00	$425.94	$478.70
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 $369.90 / $519.21 / $935.68	Professional		$369.90	$519.21	$935.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.70 / $573.66 / $755.39	Professional		$444.70	$573.66	$755.39
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $443.54 / $803.14	Professional		$315.25	$443.54	$803.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.95 / $511.41 / $628.04	Professional		$356.95	$511.41	$628.04