Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $1,000.00	Professional		$275.42	$363.08	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $398.11	Professional		$302.00	$331.13	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $851.14	Professional		$302.00	$467.74	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $794.33	Professional		$354.81	$467.74	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $724.44	Professional		$281.84	$426.58	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $602.56	Professional		$354.81	$524.81	$602.56