Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $333.86 / $413.18	Professional		$217.05	$333.86	$413.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $255.08 / $367.50	Professional		$255.08	$255.08	$367.50
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 $238.38 / $392.52 / $769.51	Professional		$238.38	$392.52	$769.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.87 / $486.16 / $649.62	Professional		$376.87	$486.16	$649.62
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 $300.14 / $413.47 / $774.47	Professional		$300.14	$413.47	$774.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.55 / $433.40 / $538.02	Professional		$359.55	$433.40	$538.02