Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.43 / $314.63 / $560.76	Professional		$295.43	$314.63	$560.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $387.00	Professional		$387.00	$387.00	$387.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $400.16	Professional		$292.12	$292.12	$400.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.28 / $721.83 / $1,039.44	Professional		$505.28	$721.83	$1,039.44
United Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $360.11 / $574.02	Professional		$278.14	$360.11	$574.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.67 / $383.67 / $505.28	Professional		$383.67	$383.67	$505.28