Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $891.25	Professional		$363.08	$467.74	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $489.78	Professional		$363.08	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $954.99	Professional		$363.08	$489.78	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $724.44	Professional		$346.74	$389.05	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $831.76	Professional		$346.74	$467.74	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $575.44	Professional		$346.74	$407.38	$575.44