Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $450.54 / $761.15	Professional		$326.73	$450.54	$761.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $303.18 / $360.63 / $558.98	Professional		$303.18	$360.63	$558.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,754.30 / $3,914.00	Facility		$525.00	$2,754.30	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.63 / $488.78 / $902.58	Professional		$327.63	$488.78	$902.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.14 / $539.40 / $830.61	Professional		$408.14	$539.40	$830.61
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.71 / $510.71 / $875.59	Professional		$369.71	$510.71	$875.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $535.10 / $662.56	Professional		$281.41	$535.10	$662.56