Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $724.44	Professional		$407.38	$524.81	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $501.19	Professional		$389.05	$426.58	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $1,023.29	Facility		$426.58	$446.68	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $954.99	Professional		$363.08	$467.74	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $812.83	Professional		$478.63	$549.54	$812.83
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 $331.13 / $426.58 / $812.83	Professional		$331.13	$426.58	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $676.08	Professional		$363.08	$501.19	$676.08