Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $977.24	Professional		$288.40	$354.81	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $446.68	Professional		$302.00	$331.13	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $794.33	Professional		$302.00	$416.87	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $562.34	Professional		$275.42	$316.23	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $616.60	Professional		$257.04	$380.19	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $416.87	Professional		$251.19	$354.81	$416.87