Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $374.96 / $527.66	Professional		$317.41	$374.96	$527.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.78 / $356.38 / $552.39	Professional		$353.78	$356.38	$552.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $1,168.70 / $1,652.00	Facility		$377.41	$1,168.70	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.10 / $416.15 / $729.53	Professional		$312.10	$416.15	$729.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.87 / $414.68 / $595.76	Professional		$327.87	$414.68	$595.76
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 $287.07 / $384.10 / $699.74	Professional		$287.07	$384.10	$699.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $397.41 / $491.81	Professional		$270.89	$397.41	$491.81