Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $891.25	Professional		$309.03	$426.58	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $389.05	Professional		$281.84	$323.59	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $912.01	Professional		$302.00	$478.63	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $741.31	Professional		$371.54	$501.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $741.31	Professional		$281.84	$436.52	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $645.65	Professional		$331.13	$562.34	$645.65