Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.16 / $465.38 / $562.88	Professional		$371.16	$465.38	$562.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.90 / $417.38 / $469.72	Professional		$416.90	$417.38	$469.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,018.46	Facility		$424.00	$449.41	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.08 / $430.27 / $782.21	Professional		$338.08	$430.27	$782.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.64 / $516.45 / $673.64	Professional		$426.64	$516.45	$673.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.12 / $414.00 / $871.47	Professional		$318.12	$414.00	$871.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.89 / $426.05 / $516.45	Professional		$343.89	$426.05	$516.45