Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.39 / $352.39 / $452.57	Professional		$287.39	$352.39	$452.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $464.55 / $464.55 / $636.42	Professional		$464.55	$464.55	$636.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $693.21 / $1,164.58	Facility		$582.00	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $375.23 / $659.57	Professional		$280.00	$375.23	$659.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $370.79 / $623.88	Professional		$301.83	$370.79	$623.88
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 $256.95 / $346.71 / $619.25	Professional		$256.95	$346.71	$619.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00