Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $323.33 / $361.23	Professional		$273.10	$323.33	$361.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.39 / $358.39 / $394.23	Professional		$358.39	$358.39	$394.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $19,068.55	Facility		$330.00	$339.05	$19,068.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $405.59 / $699.18	Professional		$279.83	$405.59	$699.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.47 / $432.00 / $561.63	Professional		$333.47	$432.00	$561.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,169.00 / $4,028.00	Facility		$2,169.00	$2,169.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $350.52 / $599.38	Professional		$241.36	$350.52	$599.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $385.11 / $470.19	Professional		$280.72	$385.11	$470.19