Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $831.76	Professional		$363.08	$537.03	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $407.38	Professional		$263.03	$363.08	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Facility		$426.58	$426.58	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $912.01	Professional		$302.00	$467.74	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $891.25	Professional		$478.63	$602.56	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $776.25	Professional		$275.42	$416.87	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $758.58	Professional		$331.13	$562.34	$758.58