Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.54 / $378.15 / $468.66	Professional		$259.54	$378.15	$468.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.49 / $330.93 / $397.07	Professional		$314.49	$330.93	$397.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $455.64 / $909.76	Professional		$285.23	$455.64	$909.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.81 / $551.87 / $735.71	Professional		$427.81	$551.87	$735.71
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $474.40 / $888.68	Professional		$333.30	$474.40	$888.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.20 / $491.98 / $611.17	Professional		$410.20	$491.98	$611.17