Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $851.14	Professional		$281.84	$363.08	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $416.87	Professional		$309.03	$346.74	$416.87
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 $295.12 / $436.52 / $870.96	Professional		$295.12	$436.52	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $645.65	Professional		$338.84	$426.58	$645.65
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 $269.15 / $389.05 / $660.69	Professional		$269.15	$389.05	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $575.44	Professional		$309.03	$478.63	$575.44