Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.80 / $534.35 / $765.84	Professional		$436.80	$534.35	$765.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $492.41 / $728.77	Professional		$459.52	$492.41	$728.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.22 / $2,034.43 / $2,626.01	Facility		$528.22	$2,034.43	$2,626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.95 / $561.90 / $1,048.79	Professional		$395.95	$561.90	$1,048.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.56 / $569.91 / $955.18	Professional		$463.56	$569.91	$955.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,379.00 / $3,219.00	Facility		$1,028.00	$1,379.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.39 / $516.98 / $928.23	Professional		$372.39	$516.98	$928.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.63 / $569.62 / $695.34	Professional		$370.63	$569.62	$695.34