Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.59 / $490.67 / $522.99	Professional		$350.59	$490.67	$522.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.03 / $440.32 / $462.34	Professional		$400.03	$440.32	$462.34
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 $334.96 / $440.48 / $728.05	Professional		$334.96	$440.48	$728.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.52 / $483.60 / $630.78	Professional		$420.52	$483.60	$630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $4,665.92	Facility		$1,009.00	$1,009.00	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $388.18 / $720.61	Professional		$301.31	$388.18	$720.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $441.52 / $483.60	Professional		$325.45	$441.52	$483.60