Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $1,000.00	Professional		$331.13	$416.87	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $575.44	Professional		$380.19	$467.74	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $446.68 / $457.09	Facility		$123.03	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $977.24	Professional		$363.08	$489.78	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $912.01	Professional		$524.81	$602.56	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $331.13	Facility		$36.31	$40.74	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $776.25	Professional		$302.00	$426.58	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $758.58	Professional		$363.08	$616.60	$758.58