Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.48 / $291.00 / $725.34	Professional		$289.48	$291.00	$725.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $365.09 / $493.21	Professional		$353.56	$365.09	$493.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $424.81 / $881.77	Professional		$298.13	$424.81	$881.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $457.40 / $763.03	Professional		$354.57	$457.40	$763.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $389.13 / $688.57	Professional		$279.38	$389.13	$688.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $407.76 / $502.71	Professional		$303.08	$407.76	$502.71