Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $851.14	Professional		$416.87	$562.34	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $478.63	Professional		$380.19	$426.58	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $1,584.89	Facility		$426.58	$446.68	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,000.00	Professional		$354.81	$501.19	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $933.25	Professional		$549.54	$616.60	$933.25
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 $323.59 / $467.74 / $870.96	Professional		$323.59	$467.74	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $794.33	Professional		$389.05	$575.44	$794.33