Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $851.14	Professional		$338.84	$489.78	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $562.34	Professional		$331.13	$363.08	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,318.26 / $1,862.09	Facility		$524.81	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $891.25	Professional		$331.13	$501.19	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $831.76	Professional		$398.11	$602.56	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $851.14	Professional		$309.03	$478.63	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $812.83	Professional		$371.54	$645.65	$812.83