Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.71 / $565.10 / $771.08	Professional		$467.71	$565.10	$771.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $521.48 / $545.07 / $866.66	Professional		$521.48	$545.07	$866.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $2,754.30 / $3,914.00	Facility		$558.49	$2,754.30	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.70 / $622.12 / $1,124.43	Professional		$437.70	$622.12	$1,124.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.28 / $618.22 / $917.52	Professional		$488.28	$618.22	$917.52
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 $429.76 / $594.12 / $1,131.11	Professional		$429.76	$594.12	$1,131.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.48 / $592.46 / $732.42	Professional		$404.48	$592.46	$732.42