Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.01 / $521.61 / $565.48	Professional		$432.01	$521.61	$565.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $501.64 / $551.79	Professional		$460.00	$501.64	$551.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $873.24	Facility		$445.00	$453.73	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $577.10 / $1,128.97	Professional		$408.26	$577.10	$1,128.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $725.11 / $941.14	Professional		$558.79	$725.11	$941.14
United Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $471.00 / $3,905.54	Facility		$197.00	$471.00	$3,905.54
United Facility/Professional Professional Modifier Low / Median / High Price $338.03 / $524.54 / $966.73	Professional		$338.03	$524.54	$966.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.90 / $646.41 / $779.44	Professional		$412.90	$646.41	$779.44