Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $933.25	Professional		$288.40	$371.54	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $446.68	Professional		$338.84	$371.54	$446.68
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 / $426.58 / $891.25	Professional		$295.12	$426.58	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $602.56	Professional		$323.59	$371.54	$602.56
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 $275.42 / $389.05 / $676.08	Professional		$275.42	$389.05	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $489.78	Professional		$302.00	$407.38	$489.78