Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.21 / $448.93 / $615.29	Professional		$392.21	$448.93	$615.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.46 / $451.42 / $699.70	Professional		$427.46	$451.42	$699.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $2,815.28 / $4,790.76	Facility		$1,335.00	$2,815.28	$4,790.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.37 / $511.46 / $945.85	Professional		$382.37	$511.46	$945.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.48 / $497.02 / $748.33	Professional		$392.48	$497.02	$748.33
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 $354.00 / $470.10 / $813.24	Professional		$354.00	$470.10	$813.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $333.27 / $475.11 / $591.29	Professional		$333.27	$475.11	$591.29