Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $851.14	Professional		$309.03	$407.38	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $524.81	Professional		$363.08	$407.38	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $954.99	Professional		$346.74	$489.78	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $660.69	Professional		$354.81	$398.11	$660.69
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 $323.59 / $436.52 / $741.31	Professional		$323.59	$436.52	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $524.81	Professional		$354.81	$446.68	$524.81