Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $794.33	Professional		$275.42	$407.38	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $371.54	Professional		$234.42	$302.00	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $912.01	Professional		$288.40	$489.78	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $724.44	Professional		$354.81	$478.63	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $794.33	Professional		$263.03	$436.52	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $602.56	Professional		$398.11	$537.03	$602.56