Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $812.83	Professional		$295.12	$446.68	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $457.09	Professional		$281.84	$316.23	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $602.56	Facility		$302.00	$354.81	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $794.33	Professional		$295.12	$436.52	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $776.25	Professional		$380.19	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,511.89	Facility		$602.56	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $776.25	Professional		$269.15	$416.87	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $776.25	Professional		$323.59	$616.60	$776.25