Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.41 / $508.94 / $672.20	Professional		$398.41	$508.94	$672.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $449.94 / $516.95 / $770.26	Professional		$449.94	$516.95	$770.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.00 / $1,441.78 / $1,870.84	Facility		$395.00	$1,441.78	$1,870.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.67 / $539.49 / $999.85	Professional		$376.67	$539.49	$999.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.98 / $562.91 / $818.78	Professional		$434.98	$562.91	$818.78
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $514.54 / $851.13	Professional		$365.06	$514.54	$851.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.53 / $545.38 / $672.63	Professional		$346.53	$545.38	$672.63