Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $368.27 / $499.92	Professional		$310.08	$368.27	$499.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $324.86 / $353.33 / $547.66	Professional		$324.86	$353.33	$547.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $1,034.11 / $1,652.00	Facility		$379.05	$1,034.11	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $401.34 / $748.27	Professional		$281.56	$401.34	$748.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.78 / $410.49 / $679.02	Professional		$332.78	$410.49	$679.02
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 $265.37 / $365.87 / $690.93	Professional		$265.37	$365.87	$690.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.41 / $408.84 / $499.17	Professional		$264.41	$408.84	$499.17