Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.48 / $384.05 / $727.41	Professional		$267.48	$384.05	$727.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.35 / $308.35 / $403.80	Professional		$308.35	$308.35	$403.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $453.51 / $879.01	Professional		$283.60	$453.51	$879.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.15 / $556.17 / $741.06	Professional		$431.15	$556.17	$741.06
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 $328.43 / $453.91 / $875.18	Professional		$328.43	$453.91	$875.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $495.82 / $614.49	Professional		$389.08	$495.82	$614.49