Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $410.90 / $585.10	Professional		$283.26	$410.90	$585.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $250.11 / $397.67	Professional		$225.10	$250.11	$397.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $2,754.30 / $3,914.00	Facility		$508.00	$2,754.30	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.45 / $463.78 / $838.39	Professional		$295.45	$463.78	$838.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.82 / $526.25 / $796.93	Professional		$389.82	$526.25	$796.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,679.00 / $3,590.00	Facility		$1,236.00	$1,679.00	$3,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.04 / $512.10 / $965.75	Professional		$365.04	$512.10	$965.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $519.94 / $643.16	Professional		$361.26	$519.94	$643.16