Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.96 / $440.80 / $483.50	Professional		$385.96	$440.80	$483.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.01 / $435.06 / $487.27	Professional		$371.01	$435.06	$487.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $14,668.79	Facility		$445.00	$453.73	$14,668.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.94 / $530.08 / $972.47	Professional		$358.94	$530.08	$972.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $613.21 / $792.86	Professional		$470.76	$613.21	$792.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,502.00 / $5,502.00 / $8,609.00	Facility		$5,502.00	$5,502.00	$8,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.51 / $463.95 / $882.73	Professional		$319.51	$463.95	$882.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $546.66 / $658.26	Professional		$372.97	$546.66	$658.26