Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $575.44	Professional		$269.15	$346.74	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $562.34	Professional		$234.42	$263.03	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $338.84	Facility		$134.90	$316.23	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $691.83	Professional		$229.09	$371.54	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $602.56	Professional		$295.12	$346.74	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $660.69	Professional		$239.88	$446.68	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $426.58	Professional		$239.88	$316.23	$426.58