Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $977.24	Professional		$380.19	$457.09	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $602.56	Professional		$346.74	$380.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $954.99	Professional		$338.84	$467.74	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $758.58	Professional		$338.84	$380.19	$758.58
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 $346.74 / $489.78 / $794.33	Professional		$346.74	$489.78	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $562.34	Professional		$338.84	$389.05	$562.34