Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.27 / $432.23 / $559.14	Professional		$358.27	$432.23	$559.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $417.47 / $423.85 / $580.66	Professional		$417.47	$423.85	$580.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $599.00 / $2,530.00	Facility		$434.58	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.34 / $481.59 / $880.16	Professional		$358.34	$481.59	$880.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.52 / $458.22 / $653.38	Professional		$367.52	$458.22	$653.38
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $438.31 / $732.75	Professional		$323.64	$438.31	$732.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $458.22 / $557.87	Professional		$311.60	$458.22	$557.87