Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.94 / $341.44 / $478.72	Professional		$286.94	$341.44	$478.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $539.00 / $539.00	Professional		$539.00	$539.00	$539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $450.88	Facility		$450.88	$450.88	$450.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $383.25 / $450.88	Professional		$383.25	$383.25	$450.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.06 / $776.54 / $968.00	Professional		$660.06	$776.54	$968.00
United Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $211.91 / $469.44	Facility		$27.79	$211.91	$469.44
United Facility/Professional Professional Modifier Low / Median / High Price $258.99 / $355.26 / $563.33	Professional		$258.99	$355.26	$563.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $454.93 / $530.83	Professional		$199.89	$454.93	$530.83