Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $308.24 / $634.42	Professional		$271.08	$308.24	$634.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $294.48 / $465.98	Professional		$293.52	$294.48	$465.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $2,993.91 / $4,254.51	Facility		$509.00	$2,993.91	$4,254.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.80 / $372.07 / $685.83	Professional		$262.80	$372.07	$685.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.93 / $338.44 / $572.51	Professional		$267.93	$338.44	$572.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,541.00 / $2,139.00 / $4,614.00	Facility		$1,541.00	$2,139.00	$4,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.73 / $337.81 / $538.08	Professional		$250.73	$337.81	$538.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $324.33 / $404.31	Professional		$244.59	$324.33	$404.31