Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $419.49 / $643.70	Professional		$302.27	$419.49	$643.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $300.19 / $350.83 / $368.37	Professional		$300.19	$350.83	$368.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,018.46	Facility		$485.00	$513.90	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $437.23 / $820.16	Professional		$294.14	$437.23	$820.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.01 / $571.38 / $745.28	Professional		$472.01	$571.38	$745.28
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 $300.52 / $443.43 / $901.38	Professional		$300.52	$443.43	$901.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $371.92 / $571.38	Professional		$354.68	$371.92	$571.38