Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $870.96	Professional		$380.19	$501.19	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $426.58	Professional		$302.00	$380.19	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $1,023.29	Facility		$489.78	$512.86	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $891.25	Professional		$331.13	$436.52	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $794.33	Professional		$478.63	$549.54	$794.33
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 $288.40 / $407.38 / $741.31	Professional		$288.40	$407.38	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $776.25	Professional		$288.40	$524.81	$776.25