Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $691.83	Professional		$346.74	$457.09	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $467.74	Professional		$346.74	$389.05	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,417.38 / $20,417.38	Facility		$20,417.38	$20,417.38	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $1,000.00	Professional		$354.81	$489.78	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $724.44	Professional		$346.74	$398.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $831.76	Professional		$338.84	$457.09	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $588.84	Professional		$331.13	$407.38	$588.84