Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $226.44 / $603.28	Professional		$191.20	$226.44	$603.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $229.60 / $297.72	Professional		$229.60	$229.60	$297.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $507.00 / $641.21	Facility		$119.71	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $303.05 / $537.58	Professional		$204.73	$303.05	$537.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $316.39 / $524.15	Professional		$245.26	$316.39	$524.15
United Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $475.00 / $3,200.82	Facility		$196.85	$475.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $251.87 / $479.41	Professional		$180.53	$251.87	$479.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.42 / $282.05 / $350.88	Professional		$218.42	$282.05	$350.88