Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $933.25	Professional		$295.12	$457.09	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $457.09	Professional		$245.47	$363.08	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Facility		$512.86	$512.86	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,071.52	Professional		$302.00	$501.19	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,023.29	Professional		$562.34	$660.69	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $501.19	Facility		$194.98	$309.03	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $912.01	Professional		$269.15	$478.63	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $691.83 / $831.76	Professional		$269.15	$691.83	$831.76