Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.25 / $359.39 / $456.83	Professional		$246.25	$359.39	$456.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $304.29 / $389.33	Professional		$288.29	$304.29	$389.33
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 $260.68 / $436.15 / $871.32	Professional		$260.68	$436.15	$871.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.11 / $514.85 / $780.39	Professional		$399.11	$514.85	$780.39
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 $326.20 / $474.96 / $918.39	Professional		$326.20	$474.96	$918.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.70 / $458.98 / $570.41	Professional		$383.70	$458.98	$570.41