Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.60 / $366.75 / $630.77	Professional		$322.60	$366.75	$630.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $350.16 / $542.75	Professional		$333.07	$350.16	$542.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $2,252.76 / $2,866.16	Facility		$509.00	$2,252.76	$2,866.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $433.55 / $821.31	Professional		$310.23	$433.55	$821.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $401.23 / $646.82	Professional		$317.64	$401.23	$646.82
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 $300.70 / $404.51 / $658.96	Professional		$300.70	$404.51	$658.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.22 / $384.51 / $479.75	Professional		$290.22	$384.51	$479.75