Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.49 / $408.85 / $542.74	Professional		$344.49	$408.85	$542.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $391.52 / $579.45	Professional		$335.37	$391.52	$579.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.49 / $1,847.93 / $2,626.01	Facility		$418.49	$1,847.93	$2,626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $442.82 / $833.68	Professional		$303.00	$442.82	$833.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.49 / $453.86 / $754.94	Professional		$367.49	$453.86	$754.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,347.00 / $3,219.00	Facility		$1,028.00	$1,347.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $395.49 / $715.01	Professional		$280.58	$395.49	$715.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.41 / $451.17 / $551.24	Professional		$293.41	$451.17	$551.24